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CASE REPORT
Year : 2022  |  Volume : 38  |  Issue : 4  |  Page : 309-311

Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned


Department of Urology, AIIMS, Jodhpur, Rajasthan, India

Correspondence Address:
Deepak Prakash Bhirud
Department of Urology, AIIMS, Jodhpur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.iju_241_22

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Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large and complex renal calculi. We encountered a patient who was planned for PCNL in a peripheral hospital, without a preoperative computed tomography scan but was abandoned during tract dilatation due to intractable bleeding and was referred to our institute with nephrostomy in situ in a clamped state. After evaluation, the tip of the nephrostomy tube was found to be in the left renal vein causing secondary thrombosis. Due to the nonfunctional status of the kidney in the dynamic scan, the patient underwent laparoscopic left simple nephrectomy with thrombectomy without any major intraoperative complication and was discharged in stable condition.


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