Severe renal bleeding caused by a ruptured renal sheath: Case report of a rare complication of percutaneous nephrolithotomy

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dc.authorscopusid6603043776
dc.authorscopusid57210681380
dc.authorscopusid6602283957
dc.contributor.authorUgras M.
dc.contributor.authorGunes A.
dc.contributor.authorBaydinc C.
dc.date.accessioned2024-08-04T20:02:25Z
dc.date.available2024-08-04T20:02:25Z
dc.date.issued2002
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Percutaneous nephrolithotomy is a minimally invasive intervention for renal stone disease. Complications, which are rare and usually presented as case reports, are diversified as the utilization of the procedure is expanded. The procedure causes less blood loss and less morbidity when compared to open surgical procedures. Yet, there are some reports involving severe bleeding and relevant morbidity during surgery. These are usually related with the surgical technique or experience of the surgeon. Renal sheaths are designed to cause minimal trauma inside the kidney and, to our knowledge, there are no reports presenting the rupture of a sheath causing severe bleeding during the procedure. Case report: We present an adult patient who had severe bleeding during percutaneous nephrolithotomy due to parenchymal injury caused by a ruptured renal sheath. During retrieval, due probably to rough handling of the equipment, a piece of stone with serrated edges ruptured the tip of the sheath, and this tip caused damage inside the kidney. The operation was terminated and measures were taken to control bleeding. The patient was transfused with a total of 1600 ml of blood, and the stones were cleared in a second look operation. Conclusion: Although considered to be a minimally invasive procedure, some unexpected complications may arise during percutaneous nephrolithotomy. After being fragmanted, stone pieces may damage surgical equipment, causing acute and severe harm to the kidney. Surgeons must manipulate the equipment with fine and careful movements in order to prevent this situation.en_US
dc.identifier.doi10.1186/1471-2490-2-10
dc.identifier.endpage4en_US
dc.identifier.issn1471-2490
dc.identifier.pmid12236904en_US
dc.identifier.scopus2-s2.0-0242272372en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1186/1471-2490-2-10
dc.identifier.urihttps://hdl.handle.net/11616/91668
dc.identifier.volume2en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBioMed Central Ltd.en_US
dc.relation.ispartofBMC Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectadulten_US
dc.subjectarticleen_US
dc.subjectblood transfusionen_US
dc.subjectcase reporten_US
dc.subjecthemostasisen_US
dc.subjecthumanen_US
dc.subjectkidney hemorrhageen_US
dc.subjectmaleen_US
dc.subjectnephrolithiasisen_US
dc.subjectnephrolithotomyen_US
dc.subjectpercutaneous nephrolithotomyen_US
dc.subjectprotective equipmenten_US
dc.subjectrenal sheathen_US
dc.subjectreoperationen_US
dc.subjectsurgical erroren_US
dc.subjectbleedingen_US
dc.subjectinjuryen_US
dc.subjectkidneyen_US
dc.subjectkidney diseaseen_US
dc.subjectmiddle ageden_US
dc.subjectnephrolithiasisen_US
dc.subjectpenetrating traumaen_US
dc.subjectpercutaneous nephrostomyen_US
dc.subjectruptureen_US
dc.subjectstenten_US
dc.subjectHemorrhageen_US
dc.subjectHumansen_US
dc.subjectKidneyen_US
dc.subjectKidney Calculien_US
dc.subjectKidney Diseasesen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectNephrostomy, Percutaneousen_US
dc.subjectRuptureen_US
dc.subjectStentsen_US
dc.subjectWounds, Penetratingen_US
dc.titleSevere renal bleeding caused by a ruptured renal sheath: Case report of a rare complication of percutaneous nephrolithotomyen_US
dc.typeArticleen_US

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