Zahran Mohamed H, Osman Yasser, El-Diasty Tarek
Int Urol Nephrol. 2014 Apr;46(4):727-30. doi: 10.1007/s11255-013-0573-1.
Many complications of percutaneous nephrolithotomy(PNL) were reported. In this report, we present a rare complication, which has never been reported. It is the migration of stone fragments into the venous system causing pulmonary emboli. We reviewed the literatures reporting complications following PNL, and there was no available previous report about such complication. It was suspected intraoperative and confirmed radiologically postoperative. In this case, pulmonary emboli have had no clinical consequences and were managed conservatively.
经皮肾镜取石术(PNL)有许多并发症的报道。在本报告中,我们呈现了一种罕见的并发症,此前从未有过相关报道。即结石碎片迁移至静脉系统导致肺栓塞。我们查阅了关于PNL术后并发症的文献,此前尚无关于此类并发症的报道。术中怀疑有此情况,术后经影像学检查得以证实。在该病例中,肺栓塞未产生临床后果,采取了保守治疗。