Document Detail

Splenic injury during percutaneous nephrolithotomy: a case report with novel management technique.
MedLine Citation:
PMID:  20136555     Owner:  NLM     Status:  MEDLINE    
We describe a case of a splenic injury caused by a transsplenic percutaneous nephrostomy tract. The case was completed without incident and the nephrostomy tube was noted to traverse the spleen on routine postoperative imaging. This rare complication was managed by deposition of Gelfoam((R)) pledgets along the transsplenic nephrostomy tract and placement of a ureteral stent. This novel management technique has not been previously described in the literature and was successful in the conservative treatment of the uncommon complication of splenic injury during percutaneous nephrolithotomy.
Alana C Desai; Samay Jain; Brian M Benway; Robert L Grubb; Daniel Picus; Robert S Figenshau
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  24     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  541-5     Citation Subset:  IM    
Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri 63110, USA.
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MeSH Terms
Gelatin Sponge, Absorbable / therapeutic use
Kidney Calculi / radiography
Middle Aged
Nephrostomy, Percutaneous / adverse effects*
Spleen / injuries*,  radiography
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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