European J Pediatr Surg Rep. 2015; 03(01): 015-017
DOI: 10.1055/s-0034-1372463
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Rare Complication Observed during Percutaneous Nephrolithotomy: Foreign Body Migration from the Right Kidney to the Left Lung

Mehmet Kaba
1   Department of Urology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
,
Necip Pirinççi
1   Department of Urology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
,
Sultan Kaba
2   Department of Pediatric, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
,
Ufuk Çobanoğlu
3   Department of Thoracic Surgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
,
Recep Eryılmaz
1   Department of Urology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
,
Hüseyin Eren
1   Department of Urology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
› Author Affiliations
Further Information

Publication History

24 December 2013

18 January 2014

Publication Date:
04 August 2014 (online)

Abstract

Percutaneous nephrolithotomy (PNL) is the first-line treatment in large, multiple stones and lower calyceal stones. Majority of complications associated with PNL are minor and clinically insignificant. It was seen that distal piece (2 cm in size) of ureter catheter observed at pelvis was found at the parenchyma of left lung on the perioperative fluoroscopy in the patient undergoing PNL for right kidney stone. We presented this complication to stress that a foreign body can pass into circulation presumably through venous injury and can migrate to the lung.

 
  • References

  • 1 Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 1976; 10 (3) 257-259
  • 2 Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf Jr JS. AUA Nephrolithiasis Guideline Panel). Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol 2005; 173 (6) 1991-2000
  • 3 Rizvi SA, Naqvi SA, Hussain Z , et al. The management of stone disease. BJU Int 2002; 89 (Suppl. 01) 62-68
  • 4 Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol 2007; 51 (4) 899-906 , discussion 906
  • 5 Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240 (2) 205-213
  • 6 Munver R, Delvecchio FC, Newman GE, Preminger GM. Critical analysis of supracostal access for percutaneous renal surgery. J Urol 2001; 166 (4) 1242-1246
  • 7 Nagele U, Horstmann M, Sievert KD , et al. A newly designed amplatz sheath decreases intrapelvic irrigation pressure during mini-percutaneous nephrolitholapaxy: an in-vitro pressure-measurement and microscopic study. J Endourol 2007; 21 (9) 1113-1116
  • 8 Zhong W, Zeng G, Wu K, Li X, Chen W, Yang H. Does a smaller tract in percutaneous nephrolithotomy contribute to high renal pelvic pressure and postoperative fever?. J Endourol 2008; 22 (9) 2147-2151
  • 9 Kukreja RA, Desai MR, Sabnis RB, Patel SH. Fluid absorption during percutaneous nephrolithotomy: does it matter?. J Endourol 2002; 16 (4) 221-224