Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report

Percutaneous nephrolithotomy (PCNL) remains an important method for treating upper urinary calculi. However, bleeding and peripheral vascular injury are serious complications of PCNL. Injury of the inferior vena cava accompanied by secondary thrombosis has rarely been reported clinically. We treated...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Pan Li, Dengjiu Mao, Jie Zhou, Hongmei Sun
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7286d7f4ec2142c69dc7dd48c3d46850
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7286d7f4ec2142c69dc7dd48c3d46850
record_format	dspace
spelling	oai:doaj.org-article:7286d7f4ec2142c69dc7dd48c3d468502021-12-02T03:03:30ZManagement of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report1473-230010.1177/03000605211058868https://doaj.org/article/7286d7f4ec2142c69dc7dd48c3d468502021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058868https://doaj.org/toc/1473-2300Percutaneous nephrolithotomy (PCNL) remains an important method for treating upper urinary calculi. However, bleeding and peripheral vascular injury are serious complications of PCNL. Injury of the inferior vena cava accompanied by secondary thrombosis has rarely been reported clinically. We treated a patient who experienced bleeding during PCNL to establish a channel. A catheter was used to make a renal fistula, and the inferior vena cava was implanted. The wound was fixed and compressed by balloon injection, and secondary thrombosis and repeated infection occurred after the operation. A filter was then placed, the water balloon was released, and the fistula was removed. The anti-bacterial and anticoagulant filter was removed. This major complication was successfully managed. In our patient, during PCNL, the renal fistula entered the inferior vena cava by mistake. If this issue cannot be treated in time, it can easily lead to the formation of secondary thrombosis. A fistula can be extracted through an inferior vena cava filter, and anticoagulant treatment and other conservative treatment regimens can be used to treat patients in this situation. These treatments avoid the possibility of further damage from open surgery.Pan LiDengjiu MaoJie ZhouHongmei SunSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Pan Li Dengjiu Mao Jie Zhou Hongmei Sun Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
description	Percutaneous nephrolithotomy (PCNL) remains an important method for treating upper urinary calculi. However, bleeding and peripheral vascular injury are serious complications of PCNL. Injury of the inferior vena cava accompanied by secondary thrombosis has rarely been reported clinically. We treated a patient who experienced bleeding during PCNL to establish a channel. A catheter was used to make a renal fistula, and the inferior vena cava was implanted. The wound was fixed and compressed by balloon injection, and secondary thrombosis and repeated infection occurred after the operation. A filter was then placed, the water balloon was released, and the fistula was removed. The anti-bacterial and anticoagulant filter was removed. This major complication was successfully managed. In our patient, during PCNL, the renal fistula entered the inferior vena cava by mistake. If this issue cannot be treated in time, it can easily lead to the formation of secondary thrombosis. A fistula can be extracted through an inferior vena cava filter, and anticoagulant treatment and other conservative treatment regimens can be used to treat patients in this situation. These treatments avoid the possibility of further damage from open surgery.
format	article
author	Pan Li Dengjiu Mao Jie Zhou Hongmei Sun
author_facet	Pan Li Dengjiu Mao Jie Zhou Hongmei Sun
author_sort	Pan Li
title	Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
title_short	Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
title_full	Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
title_fullStr	Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
title_full_unstemmed	Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
title_sort	management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/7286d7f4ec2142c69dc7dd48c3d46850
work_keys_str_mv	AT panli managementofinferiorvenacavainjuryandsecondarythrombosisafterpercutaneousnephrolithotomyacasereport AT dengjiumao managementofinferiorvenacavainjuryandsecondarythrombosisafterpercutaneousnephrolithotomyacasereport AT jiezhou managementofinferiorvenacavainjuryandsecondarythrombosisafterpercutaneousnephrolithotomyacasereport AT hongmeisun managementofinferiorvenacavainjuryandsecondarythrombosisafterpercutaneousnephrolithotomyacasereport
_version_	1718401989797216256

Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report

Ejemplares similares