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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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  1. Home
  3. Intravenous Misplacement Of The Nephrostomy Catheter Into The Inferior Vena Cava And Secondary Thrombosis Following Percutaneous Nephrostolithotomy: A Case Report And Literature Review.
  1. Home
  3. Intravenous Misplacement Of The Nephrostomy Catheter Into The Inferior Vena Cava And Secondary Thrombosis Following Percutaneous Nephrostolithotomy: A Case Report And Literature Review.

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Intravenous misplacement of the nephrostomy catheter into the inferior vena cava and secondary thrombosis following

Wang Xiong1, Wei Wei2, Xinqiang Ju3

  • 1Department of General Surgery, The People's Hospital of Longchang, Neijiang, 642150, Sichuan, China.

Heliyon
|August 7, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
Case reportInferior vena cavaMisplacementNephrostomy tubePercutaneous nephrolithotomy

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A rare case of nephrostomy catheter misplacement into the inferior vena cava after percutaneous nephrolithotomy led to thrombosis. The intervention involved anticoagulation, a filter, and catheter-directed thrombolysis for successful removal.

Area of Science:

  • Urology
  • Interventional Radiology

Background:

  • Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
  • Nephrostomy catheter misplacement is a rare but serious complication.
  • Catheter-related thrombosis in the inferior vena cava (IVC) following PCNL is exceptionally rare.

Observation:

  • A renal fistula catheter, used for hemostasis during PCNL, migrated into the IVC.
  • The inflated balloon obstructed venous return, causing IVC thrombosis.
  • The patient presented with symptoms of IVC obstruction.

Findings:

  • Successful management involved anticoagulation, IVC filter placement, and catheter-directed thrombolysis.
  • The mispositioned catheter was gradually removed in stages.
  • No pulmonary embolism or significant bleeding occurred during the intervention.

Implications:

  • Highlights the importance of vigilance during PCNL catheter placement.
  • Demonstrates a successful multi-step interventional approach for managing IVC thrombosis due to mispositioned nephrostomy tubes.
  • Emphasizes the need for prompt intervention to prevent life-threatening complications like pulmonary embolism.