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Biliary peritonitis after percutaneous nephrolithotomy: case studies and management concerns
Sutchin R Patel1, Stephen Y Nakada
1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Purpose:
To evaluate cases of gallbladder injury, a rare and potentially serious complication, in the setting of percutaneous nephrolithotomy.
Patients And Methods:
We report two cases of gallbladder injury after percutaneous nephrolithotomy and review the literature on this rare complication.
Results:
Both cases of gallbladder injury at our institution along with the four other case reports in the literature all necessitated cholecystectomy. Medial right-sided collecting system access during percutaneous nephrolithotomy may increase the risk for biliary injury.
Conclusions:
Both recognized and unrecognized gallbladder injury may lead to biliary peritonitis necessitating subsequent cholecystectomy.
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