scholarly journals Tubeless percutaneous nephrolithotomy (pcnl) in renal allografts: a case report and mini-review

2016 ◽  
Vol 10 ◽  
Author(s):  
Siavash Falahatkar ◽  
Gholamreza Mokhtari ◽  
Samaneh Esmaeili ◽  
Seyed Morteza Bashiri Ebrahimian ◽  
Nadia Rastjou Herfeh
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Significant Morbidity ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
Urinary Lithiasis ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Uncommon Complication

Urinary lithiasis in transplanted kidney is a relatively uncommon complication. However, it may lead to a significant morbidity and loss of renal function. The report presents the case of a 32-year-old male renal-transplant recipient, with a stone in renal pelvis who was treated successfully by tubeless percutaneous nephrolithotomy (PCNL). The patient is currently stone free with no complication. This article also reviews in brief the treatment of this rare complication. Reviewing the literature showed that PCNL is safe and feasible procedure for treating nephrolithiasis in a transplanted kidney.

scholarly journals Experience of percutaneous access under ultrasound guidance in renal transplant patients with allograft lithiasis

2016 ◽  
Vol 88 (4) ◽  
pp. 337 ◽  
Author(s):  
Silvano Palazzo ◽  
Ottavio Colamonico ◽  
Saverio Forte ◽  
Matteo Matera ◽  
Giuseppe Lucarelli ◽  
...  
Keyword(s):  
Renal Function ◽  
Percutaneous Nephrolithotomy ◽  
Ultrasound Guidance ◽  
Laser Energy ◽  
Renal Calculi ◽  
Optimal Choice ◽  
Transplanted Kidney ◽  
Transplant Patients ◽  
First Case ◽  
Ultrasound Study

Objective: Urolithiasis of the transplanted kidney has an incidence of 0.2 to 1.7%, it increases the risk of infection in immunosuppressed patients and it can lead to ureteral obstruction that is often associated with deterioration of renal function. Urolithiasis of the transplanted kidney has different characteristics compared to the native kidney, due to the absence of innervation, which does not lead to colic pain. Percutaneous approach is an optimal choice in transplant patients. Material and methods: Here we report our experience in two cadaveric transplant patients with urolithiasis. The first case was a patient of 68 years with a 20 mm stone located in the transplanted kidney pelvis and another smaller in a lower calyx. The second case was a patient of 65 years with a 15 mm stone in the distal part of the transplanted ureter. In both cases the patients were asymptomatic, but they had a reduction in urine output associated with worsening of the transplanted kidney function. The diagnosis was performed in both cases with ultrasound study, showing a severe hydronephrosis and it was confirmed by computed tomography scan. In both cases, we performed a Percutaneous Nephrolithotomy (PCNL). Access was made after targeting the stone, through a lower pole puncture under ultrasound guidance. The first case was treated with pneumatic and laser energy, breaking stones through a nephroscope. In the second case we performed a laser lithotripsy of the ureteral stone, using a flexible videoureteroscope. At the end of both procedures a Double-J stent and a 14 Fr Malecot nephrostomy were positioned, that were removed at 6 weeks and 10 days, respectively. Results: Both patients achieved a resolution of the worsening of renal function, recovering the spontaneous diuresis. The surgical procedure using ultrasound guidance was safe and allowed quick access to the renal pelvis. Both patients experienced no bleeding or infection during hospitalization. Conclusions: Percutaneous Nephrolithotomy (PCNL) is an established safe and effective surgical treatment option for larger renal calculi in renal allografts. The ultrasound guided access to the transplanted kidney in percutaneous treatment of urolithiasis is useful and fast, minimizing patient exposure to ionizing radiation.

Percutaneous nephrolithotomy in transplanted kidney?forgotten stent with complete staghorn and large bladder stone. Case report

2005 ◽  
Author(s):  
Igor Romanowsky ◽  
Lilian Lupu ◽  
Leonard Lismer ◽  
Leonid Babaev ◽  
Endre Z. Neulander ◽  
...  
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Bladder Stone ◽  
Transplanted Kidney ◽  
Forgotten Stent

Bilateral glossopharyngeal nerve palsy following tonsillectomy: a very rare and difficult complication of a common procedure

2015 ◽  
Vol 129 (4) ◽  
pp. 392-394 ◽  
Author(s):  
A Trinidade ◽  
C M Philpott
Keyword(s):  
Case Report ◽  
Soft Palate ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Management Strategies ◽  
Glossopharyngeal Nerve ◽  
Significant Morbidity ◽  
Common Procedure ◽  
Over Time

AbstractObjectives:Tonsillectomy is one of the most commonly performed otolaryngological procedures. Bilateral palsy of the glossopharyngeal nerve is an exceedingly rare complication that can result in significant morbidity. This case report aimed to raise awareness of this complication and outline management strategies.Case report:A 31-year-old woman who underwent routine tonsillectomy presented with progressive numbness of the palate, dysgeusia, xerostomia, paraesthesia of the tongue and the feeling of something in her throat within 2 weeks of surgery. She reported the post-operative onset of snoring. Examination revealed a symmetrically low, ‘dropped’ soft palate. Over time, her symptoms have lessened, but dysgeusia and snoring remain.Conclusion:The position of the glossopharyngeal nerve in the tonsillar bed makes it prone to injury during tonsillectomy, especially if ‘hot’ methods are used. Bilateral injury can result in significant morbidity that can be difficult to treat. Patients should be warned about this risk and care should be taken to minimise it.

scholarly journals Post V-P shunt surgical site EDH an uncommon complication: case report

2017 ◽  
Vol 31 (2) ◽  
pp. 253-256
Author(s):  
Manish Garg ◽  
Deepashu Sachdeva ◽  
Ketan Patel ◽  
Anita Jagetia ◽  
A. K. Srivastava
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Rare Complication ◽  
Shunt Infection ◽  
Shunt Surgery ◽  
Vp Shunt ◽  
Post Surgery ◽  
Shunt Migration ◽  
Uncommon Complication

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.

scholarly journals Case Report: Rectal perforation during CT colonography

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 299 ◽  
Author(s):  
Marianna Zukiwskyj ◽  
Yasser Arafat
Keyword(s):  
Colorectal Cancer ◽  
Case Report ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Rectal Perforation ◽  
Optical Colonoscopy ◽  
Bowel Rest ◽  
Uncommon Complication

IntroductionComputer tomography colonoscopy (CTC) is an increasingly prevalent procedure for the investigation of colorectal symptoms, or as a component of colorectal cancer screening.  It is considered a low risk procedure, however colonic perforation is a recognized significant complication.Case ReportWe report the case of an 81-year-old female patient who underwent CTC after failed optical colonoscopy as part of routine colorectal cancer screening.  Perforation of the rectum with surrounding pararectal air was confirmed on CTC.  The patient had minimal symptoms and was treated successful non-operatively with bowel rest and antibiotics.ConclusionPerforation sustained during CTC is an uncommon complication.  The incidence of perforation during CTC is still lower than that during optical colonoscopy.  In the absence of significant abdominal signs and symptoms, this rare complication may be successfully managed non-operatively.

scholarly journals Total Intracranial Migration of VP shunt - A Case Report

2020 ◽  
Vol 9 (2) ◽  
pp. 168-172
Author(s):  
DM Arman ◽  
Sheikh Muhammad Ekramullah ◽  
Sudipta Kumer Mukherjee ◽  
Joynul Islam ◽  
Mirza Hafizur Rashid ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Common Procedure ◽  
Vp Shunt ◽  
Uncommon Complication

Ventriculoperitoneal (VP) shunt is a common procedure performed for treatinghydrocephalus. Recently, endoscopy has been used in selected cases. Proximalmigration of VP shunt is a rare complication. Complete intracranial migration of VPshunt is very rare with very few cases reported in literature. We report a case ofcomplete intracranial migration of a VP shunt which was endoscopically retrieved.The possible mechanisms causing this very uncommon complication and themanagement are explained. Bang. J Neurosurgery 2020; 9(2): 168-172

scholarly journals Jejunal Injury as a Rare Complication of Percutaneous Nephrolithotomy: Case Report

2017 ◽  
Vol 3 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Khaled M. Al-Kohlany ◽  
Khaled A. Telha ◽  
Noman Al-lahabi ◽  
Hani M. Almahmoud
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication

scholarly journals Outpatient percutaneous nephrolithotomy in a renal transplant patient: World’s first case

2015 ◽  
Vol 9 (5-6) ◽  
pp. 324 ◽  
Author(s):  
Kristen McAlpine ◽  
Michael J. Leveridge ◽  
Darren Beiko
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Stable Condition ◽  
Renal Calculi ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
First Case ◽  
Successful Case ◽  
Tubeless Pcnl

Percutaneous nephrolithotomy (PCNL) is an established safe and effective surgical treatment option for renal calculi in renal allografts. The advent of tubeless PCNL has led to reports of ambulatory or outpatient PCNL. This case report describes the successful outpatient management of a 49-year-old female with a symptomatic renal pelvic calculus in her transplanted kidney. Tubeless PCNL successfully removed the stone, free of complication, and the patient was discharged 2 hours and 17 minutes after the procedure in stable condition with minimal pain. This is, to the best of our knowledge, the first successful case of outpatient tubeless PCNL in a transplanted kidney.

scholarly journals ORGANOPHOSPHORUS POISONING PRESENTING WITH ACUTE CORTICAL NECROSIS: A RARE COMPLICATION OF A COMMON DISORDER IN INDIAN SETTING

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Ashwani Kumar ◽  
Vivek Mohanty ◽  
Nitin Kumar ◽  
Gaurav Kanra ◽  
Anirudhh Mukherjee
Keyword(s):  
Acute Kidney Injury ◽  
Renal Function ◽  
Urinary Incontinence ◽  
Rare Complication ◽  
Renal Involvement ◽  
Kidney Injury ◽  
Cortical Necrosis ◽  
Organophosphorus Poisoning ◽  
Indian Setting ◽  
Uncommon Complication

Organophosphorus poisoning in the form of insecticides and pesticides acts by inhibition of anticholinesterase activity at the neuromuscular junction leading to overstimulation of the nicotinic and muscarinic receptor. Renal involvement usually manifests as increased urination, urinary incontinence, strangury due to overstimulation of urinary bladder . Acute kidney injury in the form of acute cortical necrosis is an extremely rare complication of OP poisoning. Here we highlight a case 31 year old male who presented to Emergency with Dichlorvos poisoning with anuria due to cortical necrosis requiring hemodialysis with gradually improving renal function thus representing an uncommon complication of Organophosphorus poisoning thus making it as a rare and interesting presentation. Keywords: Organophosphorus poisoning, Acute cortical necrosis, Granular casts

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