Calculi migration into the left renal vein during percutaneous nephrolithotomy: a rare complication and literature review

Abstract

Percutaneous nephrolithotomy (PCNL) has long been the standard treatment of choice for the management of large and complex renal calculi. PCNL is a safe and well-tolerated surgical procedure when performed systematically and correctly; however, as with any surgical intervention, although mild complications may occur in this surgery, serious complications may also occur. In this article, we report a rare case of migration of residual calculi into the renal vein during PCNL surgery and aim to present its presentation, treatment and management in a tertiary care center.

Keywords

• percutaneous nephrolithotomy
• renal vein injury
• thrombosis
• anticoagulant therapy

Perkütan nefrolitotomi esnasında sol renal vene kalkül migrasyonu: nadir bir komplikasyon ve literatür taraması

Abstract

Üriner sistem taş hastalıklarının cerrahi tedavisinde perkütan nefrolitotomi (PCNL) ameliyatı, uzun yıllardır büyük hacimli ve kompleks böbrek taşlarının tedavisinde sık tercih edilen standart bir tedavi haline gelmiştir. PCNL sistematik ve doğru şekilde yapıldığında güvenilir ve iyi tolere edilebilen cerrahi bir prosedürdür; ancak herhangi bir cerrahi müdahalede olduğu gibi bu ameliyatta da basit olmakla beraber ciddi komplikasyonlar da gelişebilmektedir. Bu yazıda, PCNL ameliyatı sırasında rezidü kalkülün renal vene migrasyonu olan nadir bir olguyu sunarak bunun üçüncü basamak bir merkezde ortaya çıkışını, tedavisini ve nasıl yönetildiğini sunmayı amaçladık.

Keywords

• perkütan nefrolitotomi,
• renal ven yaralanması
• trombozis
• antikoagülan tedavi

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