Splenic injury during percutaneous nephrolithotomy: a case report with novel management technique

Journal of Endourology
Alana C DesaiRobert S Figenshau

Abstract

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.

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Citations

Apr 12, 2014·Der Urologe. Ausg. A·F M E WagenlehnerB Altinkilic
Feb 6, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Jeffrey K WangR Houston Thompson
Jul 8, 2015·Cirugia y cirujanos·Efraín Maldonado-AlcarazEduardo Alonso Serrano-Brambila
Mar 30, 2017·Open Medicine·Alessandro FeolaBruno Della Pietra
May 5, 2020·Journal of Endourology·Vivian Paredes-BhushanVernon M Pais
Jan 1, 2015·Journal of Endourology Case Reports·Maximiliano Lopez SilvaNorberto Bernardo
Nov 22, 2016·Journal of Endourology Case Reports·Geoffrey S GaunayZeph Okeke

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Methods Mentioned

BETA
biopsy

Software Mentioned

FloSeal

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