Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

Delayed bleeding following percutaneous nephrolithotomy (PCNL) usually occurs due to development of the pseudoaneurysm which can be successfully managed with coil embolization. However very few cases of such complications have been reported in the literature. Here we are reporting a case of delayed post-PCNL bleeding that occurred in a 53-year-old diabetic patient operated on for renal stone. Computed tomography scan revealed a presence of the pseudoaneurysm in the segmental branch of right renal artery, which was successfully managed with coiling. Patient remained asymptomatic for the next 9 years after which he again presented with similar complaints. X-ray KUB was done which revealed a 2.7 cms renal pelvic calculus with the migrated coil in its center and a left upper ureteric calculus. His routine haemogram, coagulogram, serum electrolytes, and liver function tests, renal function tests, vitamin D3, and PTH (parathyroid hormone) were within normal limits. He underwent left laparoscopic ureterolithotomy and right percutaneous nephrolithotomy (PCNL). Intraoperatively the migrated stainless steel embolization coil was seen engulfed all around by the multiple stones in the right renal pelvis. Postoperative period was uneventful. Later he was followed in the outpatient department and was doing well. To conclude, this is the only case report of development of a large calculus around a migrated embolization coil which was successfully managed with PCNL. PCNL offers better stone clearance in cases of stones being formed over foreign bodies like fragmented double J stents, fragmented nephrostomies, or migrated embolization coil.

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Iatrogenic hydrohemothorax during percutaneous nephrolithotomy: A case report

Open Access Research Journal of Multidisciplinary Studies ◽

10.53022/oarjms.2021.1.2.0011 ◽

2021 ◽

Vol 1 (2) ◽

pp. 079-082

Author(s):

Tae Yeon Kim ◽

Kyu Nam Kim ◽

Lee Kwang Hyun ◽

Bo Seok Kwon ◽

Jo Hyung Jun

Keyword(s):

Percutaneous Nephrolithotomy ◽

Renal Stone ◽

Vital Signs ◽

Pulmonary Complications ◽

Fluid Retention ◽

Air Bubbles ◽

Close Cooperation ◽

The Right ◽

Pleural Injury ◽

Routine Chest

Background: Percutaneous nephrolithotomy (PNL) is a widely used surgical method for renal stone management. However, it can be associated with several complications. Case: We report an acute hemothorax during PNL in 57-year-old male patient with a stone. After observing air bubbles at the diaphragm on the laparoscopic screen, we considered pulmonary complications. A chest radiograph demonstrated a shade that measured 130 mm wide and 70 mm long and fluid retention on the right side of the chest. During drainage of 200 ml of blood through a chest tube, the patient’s vital signs became unstable. After the patient received hydration and intravenous injection of vasopressor, his vital signs stabilized. Conclusions: Pulmonary complications due to pleural injury during PNL can result in death, but the complications can be managed by early diagnosis and treatment. Close cooperation between surgeon and anesthesiologist and routine chest radiographs after PNL can reduce the pulmonary complications.

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Case 3.7

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0077 ◽

2014 ◽

pp. 146-146

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Liver Function ◽

Equilibrium Phase ◽

Liver Function Tests ◽

Quadrant Pain ◽

Function Tests ◽

Elevated Liver Function Tests ◽

The Right

80-year-old man with right upper quadrant pain and elevated liver function tests; abdominal US performed at an outside institution showed a mass in the gallbladder Arterial (Figure 3.7.1), portal venous (Figure 3.7.2), and equilibrium phase (Figure 3.7.3) postgadolinium 3D SPGR images demonstrate a hyperenhancing mass within the gallbladder lumen. Note also the large heterogeneous mass seen in the upper pole of the right kidney....

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Unusual iatrogenic cause for renal stone formation following percutaneous nephrolithotomy

ANZ Journal of Surgery ◽

10.1111/ans.13110 ◽

2015 ◽

Vol 87 (11) ◽

pp. E210-E211

Author(s):

Nieroshan Rajarubendra ◽

Philip McCahy

Keyword(s):

Percutaneous Nephrolithotomy ◽

Renal Stone ◽

Stone Formation

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Rare Presentation of Caries Exudata with Dumbbell-Shaped Abscess in an Adult – A Case Report

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i01.1950 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

M Kishore Kumar ◽

Sameer Panchal ◽

N Sabarinathan ◽

Akil Prabhakar

Keyword(s):

Shoulder Joint ◽

Glenohumeral Joint ◽

Control Program ◽

Joint Space ◽

Rare Presentation ◽

Normal Limits ◽

Male Individual ◽

National Tuberculosis ◽

Systemic Examination ◽

The Right

Introduction: Tuberculosis (TB) of the shoulder joint is a sparse entity. Here, we are presenting a case of glenohumeral joint TB (caries exudata variant) with 1-year follow-up. Case Presentation: Our patient, a 65-year-old male individual, came to the outpatient department with complaints of swelling and pain in the right shoulder of 6 months duration. Patient's systemic examination and vitals were within normal limits, and local examination of the shoulder joint revealed massive dumbbell-shaped swelling, tenderness along the joint line, and grossly restricted range of movements. Radiograph of the shoulder joint showed osteolytic lesions in the humeral head and glenoid with a reduction in glenohumeral joint space. We treated the case with the aspiration of the abscess followed by three sessions of injection streptomycin into the cavity at monthly intervals. The patient also received anti-tubercular drugs as per the Revised National Tuberculosis Control Program guidelines for 1 year. After 12 months, the patient was disease-free and had a functional range of motion. Conclusion: In adults, the classical dry type of shoulder TB (caries sicca) has been described, while the fulminating variety rarely has been reported. The latter type of shoulder TB is much more common in children. We report a fulminant variety of shoulder joint TB in an old-aged patient who presented with massive dumbbell-shaped cold abscess and destruction of glenohumeral joint. Keywords: caries sicca, caries exudate, glenohumeral joint, injection streptomycin.

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Liver function tests and metabolic-associated fatty liver disease: Changes in upper normal limits, does it really matter?

World Journal of Hepatology ◽

10.4254/wjh.v13.i12.2104 ◽

2021 ◽

Vol 13 (12) ◽

pp. 2104-2112

Author(s):

Roberta Forlano ◽

Benjamin H Mullish ◽

Ameet Dhar ◽

Robert D Goldin ◽

Mark Thursz ◽

...

Keyword(s):

Liver Disease ◽

Liver Function ◽

Fatty Liver ◽

Fatty Liver Disease ◽

Liver Function Tests ◽

Normal Limits ◽

Function Tests

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CATARACT SURGERY

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.08.1675 ◽

2016 ◽

Vol 23 (08) ◽

pp. 991-995

Author(s):

Hashim Riaz ◽

Surriya Yasmin ◽

Ayesha Babar Kawish

Keyword(s):

Hepatitis C Virus ◽

Hepatitis C ◽

Virus Infection ◽

Hepatitis B ◽

Liver Function ◽

Cataract Surgery ◽

Liver Function Tests ◽

Hepatitis C Virus Infection ◽

Normal Limits ◽

Function Tests

Objectives: This study is conducted to determine the prevalence of hepatitis Band hepatitis C virus infection in patients presenting for cataract surgery and to see the pattern ofliver function tests in hepatitis positive and negative patients. Design: Descriptive study, Settingand Period: The study was conducted from September 2015 to February 2016 at Al-Shifa eyehospital, Rawalpindi, Pakistan. Methods: All the patients presenting for cataract surgery wereincluded in the study. Liver function tests were performed using automatic chemistry analyzerwhile hepatitis B surface antigen and antibodies to hepatitis C virus were checked using thirdgeneration ELISA. Results: A total of 315 patients were included in the study. Male to femaleratio was 1.18:1. Out of these 315 cases, there were 45 (14.29%) patients who tested positivefor hepatitis and all of these 45 cases were positive for anti-HCV antibodies with 18 (40%) malesand 27 (60%) females, showing high predilection for female gender. Majority of patients, about171 (54.29%), were in the age range of 21-40 years, followed by 57 (18.10%) patients in theage group of 40-50 years. The mean age of hepatitis positive patients was 33.33±13.37 years.Regarding liver function tests, the alanine transaminase levels (ALT) were 77.9 and 132 U/L inhepatitis negative and hepatitis positive patients respectively. Enzyme levels were 1.65 timeshigher in hepatitis positive patients than in hepatitis negative patients. Rest of the parameterswas within normal limits. Conclusion: Hepatitis B and C virus infections are common cause ofliver dysfunction in our country. Hepatitis C virus infection is more prevalent than Hepatitis Bvirus infection. Hepatitis infection can lead to raised ALT levels even when other parameters ofliver function tests are within normal limits. Therefore, all patients who have raised ALT levelsmust undergo hepatitis screening.

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Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

Prague Medical Report ◽

10.14712/23362936.2021.27 ◽

2021 ◽

Vol 122 (4) ◽

pp. 294-299

Author(s):

Yavuz Onur Danacıoğlu ◽

Yusuf Arıkan ◽

Fatih Akkaş ◽

Emre Şam ◽

Deniz Noyan Özlü ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Percutaneous Nephrolithotomy ◽

Renal Stone ◽

Risk Group ◽

High Risk Group ◽

Complication Rates ◽

Surgical History ◽

History Of ◽

The Right

Percutaneous nephrolithotomy (PNL) surgeries are performed with different patient positions, anesthesia methods and different-sized access sheaths in order to reduce the complication rates. Supine positioned PNL can be performed safely in the high-risk group patients with comorbidities. Herein, we present a patient who had a past surgical history of right pneumonectomy and underwent a supine PNL procedure under regional anesthesia for a staghorn renal stone in the right kidney.

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Case 3.20

Mayo Clinic Body MRI Case Review ◽

10.1093/med/9780199915705.003.0090 ◽

2014 ◽

pp. 171-172

Author(s):

Christine U. Lee ◽

James F. Glockner

Keyword(s):

Liver Function ◽

Liver Function Tests ◽

Abnormal Liver Function ◽

Hepatic Lobe ◽

Hepatic Mass ◽

Function Tests ◽

The Right ◽

Delayed Phase ◽

T2 Weighted Images

56-year-old man with abnormal liver function tests; abdominal US revealed a large hepatic mass Axial fat-suppressed FSE T2-weighted images (Figure 3.20.1) demonstrate a large heterogeneous, hyperintense mass in the right hepatic lobe. Arterial, portal venous, equilibrium, and delayed-phase postgadolinium 3D SPGR images (...

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