Retro-renal colon: role in percutaneous access.

INTRODUCTION

Upper urinary tract is accessed for various procedures. The maximum numbers of procedures are carried out in prone position. Perforation of the colon is a well-known complication. The incidence of retrorenal colon varies from 10-20% in prone position, but the chances of injury is around <1%. These facts lead us to review the occurrence of retrorenal colon. The CT scan is imaging test of choice.

OBJECTIVE

The aim of this study was to find out the occurrence of retrorenal colon at our centre and potential risk of injury to colon when kidney is punctured at various levels by percutaneous route.

MATERIALS AND METHODS

It is a hospital-based descriptive type of observational study. We reviewed CT abdomen in supine and prone position in patients with different problems from January 2013 to December 2013. Inclusion and exclusion criteria applied. Colon posterior to the line as described by Prassopoulos and coworkers is regarded as retrorenal colon and being at risk.

RESULTS

A total number of 700 patients were included, 350 each in supine and prone position. Patients had CT scan as a part of workup for pain abdomen in 27% cases, calculus disease in 25% cases, carcinoma bladder in 16% cases and rest were of different diagnoses. Retrorenal colon was found in 2% patients in supine and 6.8% patients in prone position.

CONCLUSION

Considering the low incidence, the sample size in our study is small. We recommend multicentric large population-based study to establish the true incidence of retrorenal colon and chances of injury to colon.