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Colonic perforation in percutaneous nephrolithotomy: a case report

Abd Aziz, Mohd Fahmi and Mahno, Noor Ezmas and Che Mohamed, Siti Kamariah and Mohd Zahid, Nazli (2018) Colonic perforation in percutaneous nephrolithotomy: a case report. In: East Coast Surgical Symposium 2018 (ECSS 2018), 24th-25th Mar. 2018, Kuantan, Pahang.

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We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and its conservative management. We report a 63-year-old Malay, thalassemia carrier male who underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day, clinically evidence of subcutaneous emphysema. Serial CXR imaging confirmed presence of air under diaphragm. Small colonic perforation was diagnosed which subsequently developed localized collection retroperitoenally. He was successfully treated with non-operative management including intravenous antibiotic, surgical drainage and good nutrional has successfully support healed the collection. Serial CT renal protocol showed a healed retroperitoneal collection and patient made a good clinical recovery. PCNL has promising stone clearance rate. However, it carries complications. A rare yet important complication; colonic perforation is a serious complication that if detected earlier, good clinical recovery can be achieved conservatively

Item Type: Conference or Workshop Item (Poster)
Additional Information: 8101/72735
Uncontrolled Keywords: Percutaneous nephrolithotomy, complication, bowel injury
Subjects: R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Surgery
Kulliyyah of Medicine
Depositing User: Dr Noor Ezmas Mahno
Date Deposited: 26 Jun 2019 12:58
Last Modified: 26 Jun 2019 12:58
URI: http://irep.iium.edu.my/id/eprint/72735

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