Colonic perforation in percutaneous nephrolithotomy: a case report
We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and its conservative management. We report a 63-year-old Malay, thalassemia carrier male who underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day, clinically evidence o...
| Main Authors: | , , , |
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| Format: | Proceeding Paper |
| Language: | English |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/72735/ http://irep.iium.edu.my/72735/1/72735_Colonic%20Perforation%20in%20Percutaneous.pdf |
| _version_ | 1848787671073161216 |
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| author | Abd Aziz, Mohd Fahmi Mahno, Noor Ezmas Che Mohamed, Siti Kamariah Mohd Zahid, Nazli |
| author_facet | Abd Aziz, Mohd Fahmi Mahno, Noor Ezmas Che Mohamed, Siti Kamariah Mohd Zahid, Nazli |
| author_sort | Abd Aziz, Mohd Fahmi |
| building | IIUM Repository |
| collection | Online Access |
| description | We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and
its conservative management. We report a 63-year-old Malay, thalassemia carrier male who
underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day,
clinically evidence of subcutaneous emphysema. Serial CXR imaging confirmed presence of air
under diaphragm. Small colonic perforation was diagnosed which subsequently developed localized
collection retroperitoenally. He was successfully treated with non-operative management including
intravenous antibiotic, surgical drainage and good nutrional has successfully support healed the
collection. Serial CT renal protocol showed a healed retroperitoneal collection and patient made a
good clinical recovery. PCNL has promising stone clearance rate. However, it carries complications.
A rare yet important complication; colonic perforation is a serious complication that if detected
earlier, good clinical recovery can be achieved conservatively |
| first_indexed | 2025-11-14T17:28:38Z |
| format | Proceeding Paper |
| id | iium-72735 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:28:38Z |
| publishDate | 2018 |
| publisher | Kulliyyah of Medicine, International Islamic University Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-727352019-06-26T04:58:32Z http://irep.iium.edu.my/72735/ Colonic perforation in percutaneous nephrolithotomy: a case report Abd Aziz, Mohd Fahmi Mahno, Noor Ezmas Che Mohamed, Siti Kamariah Mohd Zahid, Nazli RD Surgery We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and its conservative management. We report a 63-year-old Malay, thalassemia carrier male who underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day, clinically evidence of subcutaneous emphysema. Serial CXR imaging confirmed presence of air under diaphragm. Small colonic perforation was diagnosed which subsequently developed localized collection retroperitoenally. He was successfully treated with non-operative management including intravenous antibiotic, surgical drainage and good nutrional has successfully support healed the collection. Serial CT renal protocol showed a healed retroperitoneal collection and patient made a good clinical recovery. PCNL has promising stone clearance rate. However, it carries complications. A rare yet important complication; colonic perforation is a serious complication that if detected earlier, good clinical recovery can be achieved conservatively Kulliyyah of Medicine, International Islamic University Malaysia 2018-08-29 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/72735/1/72735_Colonic%20Perforation%20in%20Percutaneous.pdf Abd Aziz, Mohd Fahmi and Mahno, Noor Ezmas and Che Mohamed, Siti Kamariah and Mohd Zahid, Nazli (2018) Colonic perforation in percutaneous nephrolithotomy: a case report. In: East Coast Surgical Symposium 2018 (ECSS 2018), 24th-25th Mar. 2018, Kuantan, Pahang. http://iiumedic.net/imjm/v1/download/volume_18_supp/Final-Supplement-ECSS-2018-PDF-10.pdf |
| spellingShingle | RD Surgery Abd Aziz, Mohd Fahmi Mahno, Noor Ezmas Che Mohamed, Siti Kamariah Mohd Zahid, Nazli Colonic perforation in percutaneous nephrolithotomy: a case report |
| title | Colonic perforation in percutaneous nephrolithotomy: a case report |
| title_full | Colonic perforation in percutaneous nephrolithotomy: a case report |
| title_fullStr | Colonic perforation in percutaneous nephrolithotomy: a case report |
| title_full_unstemmed | Colonic perforation in percutaneous nephrolithotomy: a case report |
| title_short | Colonic perforation in percutaneous nephrolithotomy: a case report |
| title_sort | colonic perforation in percutaneous nephrolithotomy: a case report |
| topic | RD Surgery |
| url | http://irep.iium.edu.my/72735/ http://irep.iium.edu.my/72735/ http://irep.iium.edu.my/72735/1/72735_Colonic%20Perforation%20in%20Percutaneous.pdf |