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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.
Journal of Endourology
|September 21, 2010
Summary
Gallbladder injury is a rare complication of percutaneous nephrolithotomy. Both recognized and unrecognized injuries may require gallbladder removal (cholecystectomy).
Area of Science:
- Urology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
- Gallbladder injury is a rare but serious complication of PCNL.
Observation:
- This study reports two cases of gallbladder injury following PCNL.
- A literature review identified four additional cases.
Findings:
- All reported cases of PCNL-associated gallbladder injury necessitated cholecystectomy.
- Accessing the medial right-sided collecting system during PCNL may increase the risk of biliary injury.
Implications:
- Prompt recognition and management of gallbladder injury are crucial after PCNL.
- Medial right-sided access should be approached with caution to minimize biliary injury risk.
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