Acute liver injury and contralateral pleural effusion as two rare complications following percutaneous nephrolithotomy: a case report.

IF 1.5 Q3 UROLOGY & NEPHROLOGY American journal of clinical and experimental urology Pub Date : 2024-02-15 eCollection Date: 2024-01-01
Reza Kazemi, Faezeh Jandaghi, Farzaneh Montazeri, Hanieh Salehi
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Abstract

Introduction: Percutaneous Nephrolithotomy (PCNL) is a widely used surgical intervention for removing large and complex renal calculi. While considered a safe and effective procedure, it can still lead to severe and rare complications, including bleeding, pulmonary complications, and liver dysfunction.

Case presentation: This case report presents a case who underwent PCNL for a kidney stone and subsequently developed a series of rare and severe complications. Following the PCNL procedure, the patient experienced significant bleeding, a known but uncommon complication of PCNL, pulmonary complications, a common complication that may carry a risk of death, and acute liver failure, an exceedingly rare consequence of PCNL.

Conclusion: In summary, while PCNL is a valuable technique for treating kidney stones, it is not without risk. This case underscores the importance of recognizing and managing rare complications following PCNL surgery, highlighting the need for vigilance, multidisciplinary care, and timely interventions to ensure favorable patient outcomes.

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急性肝损伤和对侧胸腔积液是经皮肾镜碎石术后的两种罕见并发症:病例报告。
导言:经皮肾镜取石术(PCNL)是一种广泛应用的外科手术,用于清除大块和复杂的肾结石。虽然PCNL被认为是一种安全有效的手术,但它仍可能导致严重而罕见的并发症,包括出血、肺部并发症和肝功能异常:本病例报告介绍了一名因肾结石而接受 PCNL 手术的病例,该病例随后出现了一系列罕见的严重并发症。PCNL 术后,患者出现了大量出血(PCNL 的一种已知但不常见的并发症)、肺部并发症(一种常见的并发症,可能有死亡风险)和急性肝功能衰竭(PCNL 的一种极为罕见的后果):总之,虽然 PCNL 是一种治疗肾结石的重要技术,但并非没有风险。本病例强调了识别和处理 PCNL 手术后罕见并发症的重要性,突出了提高警惕、多学科护理和及时干预的必要性,以确保患者获得良好的治疗效果。
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