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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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
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author Mike Friedman
Taizoon Dhoon
Christopher Sauer
Syeda Arshia Quadri
Govind R. Rajan
author_facet Mike Friedman
Taizoon Dhoon
Christopher Sauer
Syeda Arshia Quadri
Govind R. Rajan
author_sort Mike Friedman
collection DOAJ
description 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.
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spelling doaj.art-efa3a0b616054e43baec6558d3b272c52022-12-22T00:14:11ZengElsevierUrology Case Reports2214-44202020-11-0133101337Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomyMike Friedman0Taizoon Dhoon1Christopher Sauer2Syeda Arshia Quadri3Govind R. Rajan4UC Irvine School of Medicin, United States; University of California Medical Center, Irvine, 101, The City Drive South, Orange, 92618, California, United StatesUC Irvine School of Medicin, United States; University of California Medical Center, Irvine, 101, The City Drive South, Orange, 92618, California, United StatesUC Irvine School of Medicin, United States; University of California Medical Center, Irvine, 101, The City Drive South, Orange, 92618, California, United StatesUC Irvine School of Medicin, United States; University of California Medical Center, Irvine, 101, The City Drive South, Orange, 92618, California, United StatesUC Irvine School of Medicin, United States; University of California Medical Center, Irvine, 101, The City Drive South, Orange, 92618, California, United States; Corresponding author. UC Irvine School of Medicine, United States.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.http://www.sciencedirect.com/science/article/pii/S2214442020302266PCNLComplicationsBleedingRespiratory failure
spellingShingle Mike Friedman
Taizoon Dhoon
Christopher Sauer
Syeda Arshia Quadri
Govind R. Rajan
Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
Urology Case Reports
PCNL
Complications
Bleeding
Respiratory failure
title Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
title_full Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
title_fullStr Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
title_full_unstemmed Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
title_short Acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
title_sort acute delayed onset hemodynamic and respiratory compromise due to thoracic translocation of hemourinoma after percutaneous nephrolithotomy
topic PCNL
Complications
Bleeding
Respiratory failure
url http://www.sciencedirect.com/science/article/pii/S2214442020302266
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