Kumar Santosh, Pushkarna Arawat, Ganesamoni Raguram, Nanjappa Bhuvanesh
Department of Urology, Postgraduate Institute of Medical Education and Research, 160012 Chandigarh, India.
Urol Res. 2012 Apr;40(2):177-9. doi: 10.1007/s00240-011-0394-6. Epub 2011 Jun 10.
Post percutaneous nephrolithotomy (PNL) bleeding is an uncommon yet serious complication and is almost always related to a surgical cause. Nevertheless, medical cause of bleeding is rarely encountered as a cause of this dangerous complication. Dengue has been rarely reported as a cause of post operative bleeding. Bleeding diathesis in dengue occurs not only due to thrombocytopenia but also due to dysfunctional surviving platelets and increased fibrinolysis. We report a patient who developed bleeding after an uneventful PNL due to dengue hemorrhagic fever. Medical causes of bleeding such as locally endemic viral hemorrhagic fevers should also be kept in mind and evaluated especially when a surgical cause of the bleed is not found or suspected in bleeding after any surgery.
