Abstract
Perkütan nefrolitotomi (PNL) düşük komplikasyon ve yüksek başarı oranı ayrıca yüksek post operatif hasta konforu ile 2 cm’den daha büyük böbrek taşlarının cerrahi tedavisinde ilk seçenek olarak tavsiye edilmektedir. Ateş, kanama ve üriner kaçak PNL’nin en sık görülen komplikasyonlarındandır. PNL sonrası parapleji nadir görülen bir komplikasyondur. Bu olgu sunumumuzda PNL sonrası Adamkiewicz arterinin vazospazmı sonrası parapleji gelişen bir hasta değerlendirilmiştir.
References
- 1. Akilov FA, Giyasov SI, Shukhrat Tursunovich Mukhtarov ST et al. Applicability of the Clavien-Dindo grading system for assessing the postoperative complications of endoscopic surgery for nephrolithiasis: a critical review. Turk J Urol. 2013; 39: 153–160.
- 2. Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. EurUrol 2007;51:899-906.
- 3. Naumann N, Shariat K, Ulmer S, Stippich C, Ahlhelm FJ. Spinal cord infarction. Radiologe 2012;52:442-50.
- 4. Aydin A. Mechanisms and prevention of anterior spinal artery syndrome following abdominal aortic surgery. Angiol Sosud Khir 2015;21:155-64.
- 5. Alpagut U, Dayioglu E. Anterior spinal artery syndrome after infrarenal abdominal aortic surgery. J Cardiovasc Surg (Torino) 2002;43:865-8.
- 6. Djurberg H, Haddad M. Anterior spinal artery syndrome. Paraplegia following segmental ischaemic injury to the spinal cord after oesophagectomy. Anaesthesia. 1995;50:345-8.
Abstract
Percutaneous nephrolithotomy (PNL) is recommended as a first choice in the treatment of kidney stone larger than 2 cm with acceptable complication rate, high success rate and high postoperative patient comfort. Fever, bleeding, urine leakage are the most frequent complications of PNL. Paraplegia following PNL is a very rare complication. In this present study, paraplegia due to vasospasm of Adamkiewicz artery following PNL was reported.
References
- 1. Akilov FA, Giyasov SI, Shukhrat Tursunovich Mukhtarov ST et al. Applicability of the Clavien-Dindo grading system for assessing the postoperative complications of endoscopic surgery for nephrolithiasis: a critical review. Turk J Urol. 2013; 39: 153–160.
- 2. Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. EurUrol 2007;51:899-906.
- 3. Naumann N, Shariat K, Ulmer S, Stippich C, Ahlhelm FJ. Spinal cord infarction. Radiologe 2012;52:442-50.
- 4. Aydin A. Mechanisms and prevention of anterior spinal artery syndrome following abdominal aortic surgery. Angiol Sosud Khir 2015;21:155-64.
- 5. Alpagut U, Dayioglu E. Anterior spinal artery syndrome after infrarenal abdominal aortic surgery. J Cardiovasc Surg (Torino) 2002;43:865-8.
- 6. Djurberg H, Haddad M. Anterior spinal artery syndrome. Paraplegia following segmental ischaemic injury to the spinal cord after oesophagectomy. Anaesthesia. 1995;50:345-8.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Case Report |
| Authors | |
| Publication Date | February 1, 2017 |
| Published in Issue | Year 2017 Volume: 12 Issue: 1 |