Severe renal bleeding caused by a ruptured renal sheath case report of a rare complication of percutaneous

dc.authorid113611en_US
dc.contributor.authorUğraş, Murat
dc.contributor.authorGüneş, Ali
dc.contributor.authorBaydinç, Can
dc.date.accessioned2017-06-27T08:50:20Z
dc.date.available2017-06-27T08:50:20Z
dc.date.issued2002
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPercutaneous 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.citationUğraş, M. Güneş, A. Baydinç, C. (2002). Severe renal bleeding caused by a ruptured renal sheath case report of a rare complication of percutaneous. BMC Urology. 2 (10).en_US
dc.identifier.issue10en_US
dc.identifier.urihttps://hdl.handle.net/11616/7250
dc.identifier.volume2en_US
dc.language.isoenen_US
dc.publisherBMC Urologyen_US
dc.relation.ispartofBMC Urologyen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleSevere renal bleeding caused by a ruptured renal sheath case report of a rare complication of percutaneousen_US
dc.typeArticleen_US

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