A rare complication of percutaneous nephrolithotomy: Jejunal perforation and its management

Sivashankar Meganathan; Kanchana Edirisinghe; Agalawatta Asmgbb

doi:10.1016/j.eucr.2022.102045

A rare complication of percutaneous nephrolithotomy: Jejunal perforation and its management

Urol Case Rep. 2022 Mar 5:43:102045. doi: 10.1016/j.eucr.2022.102045. eCollection 2022 Jul.

Authors

Sivashankar Meganathan¹, Kanchana Edirisinghe¹, Agalawatta Asmgbb¹

Affiliation

¹ Department of Urology, National Hospital Kandy, Sri Lanka.

Abstract

A 55-year-old healthy lady underwent left side PCNL for a 1.5cm upper ureteric stone. The surgery was straightforward, and the stone was removed by pneumatic lithotripsy. We diagnosed bowel perforation while we were withdrawing the scope at the end of the procedure. Subsequently, she underwent exploratory laparotomy and jejunal perforation was identified, which was repaired primarily. To our knowledge, there were few similar case scenarios in the English literature, therefore we are sharing our experience on diagnosis and management of bowel perforation during PCNLs.

Keywords: Exploratory Laparotomy; Jejunal perforation; PCNL; Primary intestinal repair.

Publication types

Case Reports