Chubak Barbara, Stern Joshua M
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Can Urol Assoc J. 2014 Nov;8(11-12):E862-6. doi: 10.5489/cuaj.2154.
Colon perforation is a rare but serious complication of percutaneous nephrolithotomy (PCNL), meriting particular attention to its signs and symptoms for prompt diagnosis and treatment. We report an unusual presentation of colon perforation following tubeless PCNL, characterized by sore throat, pneumomediastinum, and neck and shoulder crepitus. In addition to the details of this case, we review the current literature on bowel injury during PCNL and its management.
结肠穿孔是经皮肾镜取石术(PCNL)罕见但严重的并发症,其体征和症状值得特别关注,以便及时诊断和治疗。我们报告了一例无管PCNL术后结肠穿孔的不寻常表现,其特征为咽痛、纵隔气肿以及颈部和肩部捻发音。除了该病例的详细情况外,我们还回顾了目前关于PCNL术中肠道损伤及其处理的文献。