eFAST for the diagnosis of a perioperative complication during percutaneous nephrolithotomy

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eFAST for the diagnosis of a perioperative complication during percutaneous nephrolithotomy

A 29-year-old patient with normal preanesthetic evaluation was planned for percutaneous nephrolithotomy (PCNL) for right nephrolithiasis with right pyelolithiasis. Surgery was performed under general anesthesia with endotracheal intubation with muscle relaxation. At the conclusion of surgery, when the patient was turned over to supine position, tense abdomen was noted. Immediately extended focu...

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A complication after percutaneous nephrolithotomy.

Double J stent was inserted through ureteroscope. On the 3rd postoperative day, the patient showed signs and symptoms of obstipation, vomiting, abdominal tenderness and rebound tenderness, and high fever. Plain abdominal x-ray at supine and upright position revealed air fluid level and no evidence of gas pattern in the pelvis (rectum) and sentinel loop in the left upper quadrant (Figure 2). Che...

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Radiation exposure during percutaneous nephrolithotomy; Is there a risk of the patient and the operating team?

Background: The aim of this study was to calculate the radiation amount exposed during percutaneous nephrolithototomy (PCNL) and to make the urologists and other staff sensitive about the radiation risk they were exposed to. Materials and Methods: We measured the radiation exposure during 114 cases of PCNL performed. Thermoluminescent dosimeters (TLD) were placed between the operation table and...

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Pneumomediastinum: An unusual complication after percutaneous nephrolithotomy

Pneumomediastinum is the presence of air within the mediastinum. It is usually caused by a respiratory tract disorder, esophageal erosion, bowel perforation, or gastrointestinal tract endoscopic procedure. Pneumomediastinum following urological endoscopic surgery is very uncommon. Here, we report an unusual case of pneumomediastinum in a 55-year-old female following percutaneous nephrolithotomy...

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A case of micro-percutaneous nephrolithotomy with macro complication.

Percutaneous nephrolithotomy is accepted as the standard management approach for kidney stones that are either refractory to extracorporeal shock wave lithotripsy or are >2 cm in diameter. The recently developed micro-percutaneous nephrolithotomy (microperc) technique provides intrarenal access under full vision using an optic instrument with a smaller calibration. A lesser amount of bleeding h...

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ژورنال

عنوان ژورنال: Critical Ultrasound Journal

سال: 2018

ISSN: 2036-3176,2036-7902

DOI: 10.1186/s13089-018-0088-1