Related Experiment Video
Updated: Sep 30, 2025

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
A rare complication of percutaneous nephrolithotomy: Jejunal perforation and its management
Sivashankar Meganathan1, Kanchana Edirisinghe1, Agalawatta Asmgbb1
1Department of Urology, National Hospital Kandy, Sri Lanka.
A 55-year-old healthy lady underwent left side PCNL for a 1.5cm upper ureteric stone. The surgery was straightforward, and the stone was removed by pneumatic lithotripsy. We diagnosed bowel perforation while we were withdrawing the scope at the end of the procedure. Subsequently, she underwent exploratory laparotomy and jejunal perforation was identified, which was repaired primarily. To our knowledge, there were few similar case scenarios in the English literature, therefore we are sharing our experience on diagnosis and management of bowel perforation during PCNLs.
A 55-year-old healthy lady underwent left side PCNL for a 1.5cm upper ureteric stone. The surgery was straightforward, and the stone was removed by pneumatic lithotripsy. We diagnosed bowel perforation while we were withdrawing the scope at the end of the procedure. Subsequently, she underwent exploratory laparotomy and jejunal perforation was identified, which was repaired primarily. To our knowledge, there were few similar case scenarios in the English literature, therefore we are sharing our experience on diagnosis and management of bowel perforation during PCNLs.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
Urinary Tract Calculi VI: Surgical Management
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Urinary Tract Calculi III: Medical Management
