Nefrolitotomía percutánea en pacientes con cirugía bariátrica: ¿mayor riesgo de complicación?
| Autor: | Gastón López-Fontana, Octavio A Castillo C, Alejandro Foneron |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Percutaneous complicaciones business.industry General surgery medicine.medical_treatment Perforation (oil well) Urinary Lithiasis Obesidad nefrolitiasis Nephrostomy tube medicine.disease nefrolitotomía percutánea Surgery Sepsis Kidney stone disease medicine bypass gástrico Percutaneous nephrolithotomy business Left kidney |
| Zdroj: | Revista chilena de cirugía v.64 n.5 2012 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0718-4026 |
| Popis: | Percutaneous nephrolitotomy in bariatric surgery patients. Is there an increased risk of complications Introduction: To report a patient with a history of bariatric surgery and staghorn calculi of the left kidney, who had a colonic perforation after percutaneous renal surgery. Material and Methods: A 38 years old male patient, with a history of gastric bypass, underwent a left percutaneous nephrolithotomy due to staghorn renal calculi. In the procedure, the colon was incidentally perforated during the percutaneous access. Results: The patient developed a sepsis and fecal material appeared surrounding the nephrostomy tube. A transverse colostomy was performed, with improvement of the sepsis and a spontaneous resolution of the nephro-colonic fi stula. Conclusion: Is known that bariatric surgery is associated with the novo urinary lithiasis. Besides, there are anatomical changes in between intraabdominal viscera. Radiological studies and a adequate surgical strategy are fundamental to avoid severe surgical complications in kidney stone disease. |
| Databáze: | OpenAIRE |
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