Sutchin R Patel1, Stephen Y Nakada. 1. Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Abstract
PURPOSE: To evaluate cases of gallbladder injury, a rare and potentially serious complication, in the setting of percutaneous nephrolithotomy. PATIENTS AND METHODS: We report two cases of gallbladder injury after percutaneous nephrolithotomy and review the literature on this rare complication. RESULTS: Both cases of gallbladder injury at our institution along with the four other case reports in the literature all necessitated cholecystectomy. Medial right-sided collecting system access during percutaneous nephrolithotomy may increase the risk for biliary injury. CONCLUSIONS: Both recognized and unrecognized gallbladder injury may lead to biliary peritonitis necessitating subsequent cholecystectomy.
PURPOSE: To evaluate cases of gallbladder injury, a rare and potentially serious complication, in the setting of percutaneous nephrolithotomy. PATIENTS AND METHODS: We report two cases of gallbladder injury after percutaneous nephrolithotomy and review the literature on this rare complication. RESULTS: Both cases of gallbladder injury at our institution along with the four other case reports in the literature all necessitated cholecystectomy. Medial right-sided collecting system access during percutaneous nephrolithotomy may increase the risk for biliary injury. CONCLUSIONS: Both recognized and unrecognized gallbladder injury may lead to biliary peritonitis necessitating subsequent cholecystectomy.
Authors: Ata A Rahnemai-Azar; Amir A Rahnemaiazar; Rozhin Naghshizadian; Jacob H Cohen; Iman Naghshizadian; Brian F Gilchrist; Daniel T Farkas Journal: Nephrourol Mon Date: 2014-09-05