Case Report
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Malekot Kateter Kırığına Bağlı Retroperitoneal Yabancı Cisim: Nadir Bir Olgu Sunumu

Year 2025, Volume: 17 Issue: 3, 178 - 182, 30.09.2025
https://doi.org/10.54233/endourolbull-1681411

Abstract

Perkütan nefrolitotomi (PNL), büyük ve komplike böbrek taşlarının tedavisinde yaygın olarak kullanılan minimal invaziv bir cerrahi yöntemdir. İşlem sonrası yerleştirilen nefrostomi kateterleri drenaj ve hemostaz açısından önemli olmakla birlikte, nadiren ciddi komplikasyonlara yol açabilir. Bu yazıda, PNL sonrası Malecot nefrostomi kateterinin distal parçasının fragmante olarak retroperitoneal alanda kaldığı ve açık cerrahi ile çıkarıldığı nadir bir olgu sunulmuştur.

Supporting Institution

Yazarlar, bu makalenin araştırması, yazımı ve/veya yayınlanması için herhangi bir mali destek almamıştır.

References

  • 1. Setthawong V, Srisubat A, Potisat S, Lojanapiwat B, Pattanittum P. Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones. Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2023;2023. https://doi.org/10.1002/14651858. CD007044.pub4
  • 2. Yılmaz S, Topcuoğlu M, Demirel F. Evaluation of Factors Affecting Success Rate in Percutaneous Nephrolithotomy: A Five-Year Experience. Journal of Urological Surgery. 2023;10:245-52. https://doi.org/10.4274/jus. galenos.2023.2022.0068
  • 3. Taylor E, Miller J, Chi T, Stoller ML. Complications associated with percutaneous nephrolithotomy. Transl Androl Urol. 2012;1:223-8. https://doi.org/10.3978/j.issn.2223-4683.2012.12.01
  • 4. Kallidonis P, Panagopoulos V, Kyriazis I, Liatsikos E. Complications of percutaneous nephrolithotomy: Classification, management, and prevention. Vol. 26, Current Opinion in Urology Lippincott Williams and Wilkins; 2016. p. 88-94.
  • 5. Gadzhiev NK, Obidnyak VM, Gorelov DS, Malkhasyan VA, Akopyan GN, Mazurenko DA, et al. Complications after PCNL: Diagnosis and management. Urologiia. Bionika Media Ltd.; 2020;2020:139-48. https://doi.org/10.18565/ urology.2020.5.139-148
  • 6. Kumar P, Nayyar R. Forgotten Perinephric Drain Anchored in the Tissues: Lessons to Be Learned. J Endourol Case Rep. Mary Ann Liebert Inc; 2017;3:123-5. https://doi.org/10.1089/cren.2017.0067
  • 7. Turo R, Horsu S, Broome J, Das S, Gulur DM, Pettersson B, et al. Complications of percutaneous nephrostomy in a district general hospital. Turk J Urol. 2018;44:478-83. https://doi.org/10.5152/tud.2018.37336
  • 8. Asi T, Doğan HS. Percutaneous Removal of a Broken Malecot Nephrostomy Tube. Journal of Urological Surgery. 2019;6:162-4. https://doi.org/10.4274/jus.galenos.2019.2473
  • 9. Hasan DrA, Kundu DrG, Yadav DrPK, Panda DrS, Singh DrG, Hota DrD. Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness. International Journal of Surgery Science. Comprehensive Publications; 2019;3(3):352-4. https://doi.org/10.33545/surgery.2019.v3.i3f.194
  • 10. Anderson JK, Monga M. Management of the retained percutaneous nephrostomy catheter. JSLS. 2006 JanMar;10(1):126-8.
  • 11. Bayne D, Taylor ER, Hampson L, Chi T, Stoller ML. Determinants of nephrostomy tube dislodgment after percutaneous nephrolithotomy. J Endourol. Mary Ann Liebert Inc.; 2015;29:289-92. https://doi.org/10.1089/ end.2014.0387

Foreign Body Complication After Endourological Intervention: A Rare Case Report

Year 2025, Volume: 17 Issue: 3, 178 - 182, 30.09.2025
https://doi.org/10.54233/endourolbull-1681411

Abstract

Percutaneous nephrolithotomy (PNL) is a widely used minimally invasive surgical technique for the treatment of large and complex renal stones. Although nephrostomy catheters placed after the procedure play a crucial role in drainage and hemostasis, they may rarely lead to serious complications. Herein, we report a rare case of distal fragment retention of a Malecot nephrostomy catheter following PNL, which was successfully removed through open surgery.

Supporting Institution

The authors received no financial support for the research, authorship, and/or publication of this article.

References

  • 1. Setthawong V, Srisubat A, Potisat S, Lojanapiwat B, Pattanittum P. Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones. Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2023;2023. https://doi.org/10.1002/14651858. CD007044.pub4
  • 2. Yılmaz S, Topcuoğlu M, Demirel F. Evaluation of Factors Affecting Success Rate in Percutaneous Nephrolithotomy: A Five-Year Experience. Journal of Urological Surgery. 2023;10:245-52. https://doi.org/10.4274/jus. galenos.2023.2022.0068
  • 3. Taylor E, Miller J, Chi T, Stoller ML. Complications associated with percutaneous nephrolithotomy. Transl Androl Urol. 2012;1:223-8. https://doi.org/10.3978/j.issn.2223-4683.2012.12.01
  • 4. Kallidonis P, Panagopoulos V, Kyriazis I, Liatsikos E. Complications of percutaneous nephrolithotomy: Classification, management, and prevention. Vol. 26, Current Opinion in Urology Lippincott Williams and Wilkins; 2016. p. 88-94.
  • 5. Gadzhiev NK, Obidnyak VM, Gorelov DS, Malkhasyan VA, Akopyan GN, Mazurenko DA, et al. Complications after PCNL: Diagnosis and management. Urologiia. Bionika Media Ltd.; 2020;2020:139-48. https://doi.org/10.18565/ urology.2020.5.139-148
  • 6. Kumar P, Nayyar R. Forgotten Perinephric Drain Anchored in the Tissues: Lessons to Be Learned. J Endourol Case Rep. Mary Ann Liebert Inc; 2017;3:123-5. https://doi.org/10.1089/cren.2017.0067
  • 7. Turo R, Horsu S, Broome J, Das S, Gulur DM, Pettersson B, et al. Complications of percutaneous nephrostomy in a district general hospital. Turk J Urol. 2018;44:478-83. https://doi.org/10.5152/tud.2018.37336
  • 8. Asi T, Doğan HS. Percutaneous Removal of a Broken Malecot Nephrostomy Tube. Journal of Urological Surgery. 2019;6:162-4. https://doi.org/10.4274/jus.galenos.2019.2473
  • 9. Hasan DrA, Kundu DrG, Yadav DrPK, Panda DrS, Singh DrG, Hota DrD. Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness. International Journal of Surgery Science. Comprehensive Publications; 2019;3(3):352-4. https://doi.org/10.33545/surgery.2019.v3.i3f.194
  • 10. Anderson JK, Monga M. Management of the retained percutaneous nephrostomy catheter. JSLS. 2006 JanMar;10(1):126-8.
  • 11. Bayne D, Taylor ER, Hampson L, Chi T, Stoller ML. Determinants of nephrostomy tube dislodgment after percutaneous nephrolithotomy. J Endourol. Mary Ann Liebert Inc.; 2015;29:289-92. https://doi.org/10.1089/ end.2014.0387
There are 11 citations in total.

Details

Primary Language Turkish
Subjects Urology
Journal Section Case Report
Authors

Hakan Tekinaslan 0000-0001-9106-0495

Sacit Nuri Görgel 0000-0001-7628-1249

Yiğit Akın 0000-0001-7627-3476

Publication Date September 30, 2025
Submission Date April 22, 2025
Acceptance Date July 30, 2025
Published in Issue Year 2025 Volume: 17 Issue: 3

Cite

Vancouver Tekinaslan H, Görgel SN, Akın Y. Malekot Kateter Kırığına Bağlı Retroperitoneal Yabancı Cisim: Nadir Bir Olgu Sunumu. Endourol Bull. 2025;17(3):178-82.