Transfixed jejunum lesion due to percutaneous nephrolithotomy

Area of Science:

• Urology
• Gastroenterology
• Surgical Pathology

Background:

• Percutaneous nephrolithotomy is a minimally invasive procedure for renal calculi.
• Complications, though rare, can occur, necessitating prompt recognition and management.
• Small bowel lesions following such procedures are infrequent but carry significant morbidity.

Observation:

• A patient undergoing percutaneous nephrolithotomy developed a jejunal transfixing perforation.
• The patient presented with stable clinical progression despite the perforation.
• Initial conservative management proved unsuccessful.

Findings:

• Delayed diagnosis and management of transfixing small bowel lesions can lead to treatment failure.
• Surgical intervention, specifically laparotomy with enterectomy, was required for successful treatment.
• Prompt surgical intervention is essential to mitigate further complications.

Implications:

• Highlights the importance of considering gastrointestinal complications after percutaneous renal procedures.
• Emphasizes the need for timely diagnosis and surgical management of small bowel perforations.
• Underscores the limitations of conservative treatment for transfixing small bowel injuries.