Nadir bir klinik durum: Perkütan nefrolitotomi sonrası gelişen parapleji

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. 

Keywords

• Adamkiewicz arteri
• Parapleji
• Perkütan nefrolitotomi

Paraplegia after percutaneous nephrolithotomy: A rare clinical entity

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. 

Keywords

• Adamkiewicz artery
• Paraplegia
• Percutaneous nephrolithotomy

References

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