Injury of the ileum during percutaneous nephrolithotomy in a pediatric patient

Saad, Karim S.M.; Hanno, Ahmed; El-Nahas, Ahmed R.

doi:10.5489/cuaj.1644

Cited by 6 publications

(6 citation statements)

References 10 publications

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“…Technical difficulty during the procedure was common in the cases reported, with 78% occurring during puncture and 56% during dilation. In only one pediatric case, Mini Perc was used; in the others cases, the standard device was used [14]. Diagnosis of the injury has made up to 5 days after the intraoperative phase.…”

Section: Resultsmentioning

confidence: 99%

“…Apart from the case analyzed herein (case 11, Tables 1, 2), 18 articles were part of this study, with 10 of them being case reports [7][8][9][10][11][12][13][14][15][16].…”

Section: Methodsmentioning

confidence: 99%

“…The colon is the most commonly affected intestinal segment, representing about 0.2-0.8% [6] of complications. On the other hand, small bowel lesions are rare, with few cases reported in the literature [7][8][9][10][11][12][13][14][15][16]. Infectious complications related to intestinal perforation can be fatal if not diagnosed and treated accordingly [17].…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and management of small intestinal injury due to percutaneous renal access

et al. 2021

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Purpose Define factors for proper diagnosis and treatment of small intestinal injury during procedures with percutaneous renal access, thus optimizing favorable outcomes and avoiding complications and death during conservative or surgical approaches. Materials and methods Bibliographic review of case reports available in the literature and presentation of data from an additional case have been carried out. Results Percutaneous nephrolithotripsy was the procedure that most frequently caused injury of the small intestine. Time for diagnosis of the lesion took up to 5 days after the intraoperative phase. When occurring in the intraoperative phase, perforation was identified by direct endoscopic visualization; a catheter was then placed inside the intestinal lumen and a conservative approach to the derived fistula was adopted, which led to successful outcomes in all cases. Abdominal pain was the most common symptom in cases diagnosed during the postoperative phase (75%). In the presence of signs of peritonitis, surgical intervention was performed, with favorable evolution in all cases. Conclusions Conservative management of small intestine injuries is possible when there is no peritoneal contamination. Its success factors include intraoperative diagnosis and non-transfixing lesions, which is more common in duodenal involvement. Laparotomy to clean the cavity associated with a corrective approach (enterorrhaphy or enterectomy with primary anastomosis) was successfully indicated in cases of late diagnosis with signs of peritonitis, a situation that is most commonly found in transfixing lesions of ileum and jejunum.

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Section: Resultsmentioning

confidence: 99%

“…Apart from the case analyzed herein (case 11, Tables 1, 2), 18 articles were part of this study, with 10 of them being case reports [7][8][9][10][11][12][13][14][15][16].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and management of small intestinal injury due to percutaneous renal access

et al. 2021

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“…Early diagnosis is crucial for management and to decrease morbidity for the patient. In current series, we reported one who encountered ileum injury (20) . Other advantages of RIRS in the present study are the shorter radiation exposure time and hospital stay.…”

Section: Discussionmentioning

confidence: 95%

Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Large Renal Stones in Pediatric Patients: A Randomized Controlled Trial

et al. 2015

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“…If left untreated, perforation may be complicated by renal abscess, fistula, and peritonitis [2] , [3] . Owing to the mismatch between the small-bowel position and the path for renal tract dilatation during PCNL, small-bowel perforation is very rare, with only isolated reports of jejunal and ileal injuries in the literature [4] , [5] , [6] .…”

Section: Introductionmentioning

confidence: 99%

Bowel Perforation During Percutaneous Nephrolithotomy: Diagnosis, Management, and Follow-up

Savin,

Nevo,

Sofer

2024

European Urology Open Science

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Injury of the ileum during percutaneous nephrolithotomy in a pediatric patient

Abstract: Ileum injury during percutaneous nephrolithotomy (PCNL) is an extremely rare complication. We describe the successful management of an inadvertently injured ileum during subcostal PCNL in a 12-year-old boy. Mechanism of injury, presentation and management will be discussed.

Cited by 6 publications

References 10 publications

Diagnosis and management of small intestinal injury due to percutaneous renal access

Diagnosis and management of small intestinal injury due to percutaneous renal access

Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Large Renal Stones in Pediatric Patients: A Randomized Controlled Trial

Bowel Perforation During Percutaneous Nephrolithotomy: Diagnosis, Management, and Follow-up

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