Ileal injury secondary to percutaneous nephrolithotomy:a case report and literature review
10.3969/j.issn.1009-8291.2025.07.010
- VernacularTitle:经皮肾镜碎石取石术并发回肠损伤1例报告并文献复习
- Author:
Xudong LIU
1
;
Qiang XU
;
Jianbin YIN
;
Shiyuan DUAN
;
Hongtao HU
;
Taichao SONG
;
Shaoshun WEI
;
Zaoming HUANG
Author Information
1. 重庆中医药学院附属璧山医院泌尿外科,重庆 402760
- Publication Type:Journal Article
- Keywords:
upper urinary tract stones;
percutaneous nephrolithotomy;
complications;
ileal injury;
small intestinal injury
- From:
Journal of Modern Urology
2025;30(7):603-606,封1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics,diagnosis and treatment of ileal injury secondary to percutaneous nephrolithotomy percutaneous nephrolithotomy(PCNL).Methods The diagnosis and treatment of a patient were reviewed,and relevant literature were retrieved.Results The patient was a 41-year-old male,who underwent stage PCNL(initial percutaneous nephrostomy,followed by secondary PCNL)due to right ureteral calculi with severe hydronephrosis.On postoperative day 1,he developed abdominal distension and pain.Abdominal X-ray revealed subdiaphragmatic free gas,and CT showed pelvic and abdominal fluid and gas accumulation,suggesting peritonitis due to intestinal perforation.Emergency exploratory laparotomy identified a 3 mm×3 mm ileal perforation approximately 30 cm from the ileocecal valve,which was repaired surgically.The patient recovered well and was discharged after one week,with no discomfort reported during a 6-month follow-up.Conclusion The clinical features of ileal injury secondary to PCNL include early postoperative abdominal distension,pain and peritonitis.Diagnosis relies on clinical manifestations,abdominal X-ray and CT,with surgical exploration if necessary.Conservative management under vigilant observation can be cautiously adopted for localized injuries,while surgical repair is required for peritonitis or failed conservative therapy.
