Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: a case report and literature review
| Autor: | Chaoyou Huang, Lifeng Gong, Binglei Jiang, Zhen Zeng, Junbo Liu, Juan Mao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Catheters medicine.medical_treatment 030232 urology & nephrology Case Report Nephrolithotomy Percutaneous Biochemistry Catheterization 03 medical and health sciences 0302 clinical medicine R5-920 medicine Humans Fluoroscopy percutaneous nephrostolithotomy Nephrostomy Percutaneous Nephrostomy catheter medicine.diagnostic_test business.industry Biochemistry (medical) misplacement catheter withdrawal Cell Biology General Medicine Surgery Percutaneous nephrostomy 030220 oncology & carcinogenesis percutaneous nephrostomy Complication business Percutaneous nephrostolithotomy |
| Zdroj: | Journal of International Medical Research, Vol 48 (2020) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy (PCNL) is extremely rare, and little information is available about this complication. Because the patient’s prognosis may be poor, sufficient attention should be paid to early identification and treatment of this complication. We present an uncommon case of a patient with intravenous nephrostomy catheter misplacement after PCNL at our hospital. In our patient, the tip of the nephrostomy catheter was located in the inferior vena cava. It was successfully managed using two-step catheter withdrawal under fluoroscopy, and the percutaneous nephrostomy catheter was able to be withdrawn 7 to 8 cm back into the collecting system in stages with the surgical team on standby. There were no severe complications such as deep vein thrombosis that developed during or after the catheter withdrawal. Patients could be managed conservatively using intravenous antibiotics, strict bed rest, and tube withdrawal using computed tomography (CT) or fluoroscopy guide in most cases combined with information in the literature. Additionally, open surgery could be used as an alternative treatment. |
| Databáze: | OpenAIRE |
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