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Updated: Apr 21, 2026
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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
453
Massive left hemothorax following laparoscopic pyeloplasty.
Manjula Rao1, Nischith D'Souza1, Altaf Khan1
1Department of Urology, Yenepoya Medical College, Mangalore, Karnataka, India.
Summary
Laparoscopic pyeloplasty (LP) is a minimally invasive option for ureteropelvic junction obstruction. Intrathoracic bleeding is a rare but serious complication of LP, requiring prompt diagnosis and management.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Laparoscopic pyeloplasty (LP) is a standard minimally invasive treatment for ureteropelvic junction obstruction.
- Open pyeloplasty serves as a traditional alternative.
Observation:
- Intrathoracic bleeding (hemothorax) is an exceptionally rare complication following laparoscopic urological procedures.
- This complication necessitates high clinical suspicion, especially with deteriorating hemodynamic and respiratory status.
Findings:
- A case report details hemothorax occurring after an otherwise uncomplicated laparoscopic pyeloplasty in an 18-year-old female.
- The patient experienced worsening intraoperative or postoperative parameters, indicating the complication.
Implications:
- Highlights the importance of recognizing and managing rare complications like hemothorax in laparoscopic urological surgery.
- Emphasizes the need for vigilance regarding hemodynamic and respiratory changes during and after laparoscopic pyeloplasty.
- Underscores that even standard procedures carry risks that require prompt diagnostic and therapeutic intervention.
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