Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy

Percutaneous nephrolithotomy (PCNL) despite its minimally invasive approach has an high complication rate, with the most common complications being extravasation of urine and perioperative bleeding requiring transfusion. While most of these complications are minor, many serious and life-threatening...

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Bibliographic Details
Main Authors: Mike Friedman, Taizoon Dhoon, Christopher Sauer, Syeda Arshia Quadri, Govind R. Rajan
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020302266
Description
Summary:Percutaneous nephrolithotomy (PCNL) despite its minimally invasive approach has an high complication rate, with the most common complications being extravasation of urine and perioperative bleeding requiring transfusion. While most of these complications are minor, many serious and life-threatening complications do occur. One such complication is the development of hemothorax or hydrothorax which usually develops in the early postoperative period with blood or urine passing from the surgical site through a newly established pleural-peritoneal fistula. Here we describe an unusual presentation and clinical management of delayed onset acute urohemothorax and hemodynamic collapse several days following PCNL.
ISSN:2214-4420