Transfixed jejunum lesion due to percutaneous nephrolithotomy

Percutaneous access for treatment of renal pathologies is a minimally invasive modality, although it can present complications. Small bowel lesions are rare but correct diagnosis and management are essential to prevent major complications. A patient submitted to an uncomplicated percutaneous nephrol...

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Main Authors: Victor S.S. Fanni, Lucas de O. Ramos, Marcela C. Leite, Felipe U.P. Martins, Paulo Roberto C. Júnior, Humberto E. Lopes
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020304101
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spelling doaj-960dd32d98984082a9d43002413fa9d42021-01-08T04:20:24ZengElsevierUrology Case Reports2214-44202021-03-0135101521Transfixed jejunum lesion due to percutaneous nephrolithotomyVictor S.S. Fanni0Lucas de O. Ramos1Marcela C. Leite2Felipe U.P. Martins3Paulo Roberto C. Júnior4Humberto E. Lopes5Urinary System Department, Urology Service, University Hospital of the Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, BrazilUrinary System Department, Urology Service, University Hospital of the Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, BrazilMedical School of Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, Brazil; Corresponding author. Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, Brazil.Urinary System Department, Urology Service, University Hospital of the Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, BrazilUrinary System Department, Urology Service, University Hospital of the Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, BrazilUrinary System Department, Urology Service, University Hospital of the Federal University of Juiz de Fora, Avenida Eugênio do Nascimento s/n, Dom Bosco, Juiz de Fora, MG, 36038-330, BrazilPercutaneous access for treatment of renal pathologies is a minimally invasive modality, although it can present complications. Small bowel lesions are rare but correct diagnosis and management are essential to prevent major complications. A patient submitted to an uncomplicated percutaneous nephrolithotomy presented jejunal transfixing perforation with a stable clinical progression. It was first managed conservatively unsuccessfully. Therefore, a laparotomy with enterectomy was necessary, with a favorable outcome. In transfixing lesions of the small bowel, diagnosis may be difficult and delayed. This contributes to conservative management failures and the requirement of laparotomy with enterectomy in order to reduce further complications.http://www.sciencedirect.com/science/article/pii/S2214442020304101Jejunal perforationPercutaneous nephrolithotomyPercutaneous renal surgerySmall bowel perforationSmall bowel transfixing lesion
collection DOAJ
language English
format Article
sources DOAJ
author Victor S.S. Fanni
Lucas de O. Ramos
Marcela C. Leite
Felipe U.P. Martins
Paulo Roberto C. Júnior
Humberto E. Lopes
spellingShingle Victor S.S. Fanni
Lucas de O. Ramos
Marcela C. Leite
Felipe U.P. Martins
Paulo Roberto C. Júnior
Humberto E. Lopes
Transfixed jejunum lesion due to percutaneous nephrolithotomy
Urology Case Reports
Jejunal perforation
Percutaneous nephrolithotomy
Percutaneous renal surgery
Small bowel perforation
Small bowel transfixing lesion
author_facet Victor S.S. Fanni
Lucas de O. Ramos
Marcela C. Leite
Felipe U.P. Martins
Paulo Roberto C. Júnior
Humberto E. Lopes
author_sort Victor S.S. Fanni
title Transfixed jejunum lesion due to percutaneous nephrolithotomy
title_short Transfixed jejunum lesion due to percutaneous nephrolithotomy
title_full Transfixed jejunum lesion due to percutaneous nephrolithotomy
title_fullStr Transfixed jejunum lesion due to percutaneous nephrolithotomy
title_full_unstemmed Transfixed jejunum lesion due to percutaneous nephrolithotomy
title_sort transfixed jejunum lesion due to percutaneous nephrolithotomy
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2021-03-01
description Percutaneous access for treatment of renal pathologies is a minimally invasive modality, although it can present complications. Small bowel lesions are rare but correct diagnosis and management are essential to prevent major complications. A patient submitted to an uncomplicated percutaneous nephrolithotomy presented jejunal transfixing perforation with a stable clinical progression. It was first managed conservatively unsuccessfully. Therefore, a laparotomy with enterectomy was necessary, with a favorable outcome. In transfixing lesions of the small bowel, diagnosis may be difficult and delayed. This contributes to conservative management failures and the requirement of laparotomy with enterectomy in order to reduce further complications.
topic Jejunal perforation
Percutaneous nephrolithotomy
Percutaneous renal surgery
Small bowel perforation
Small bowel transfixing lesion
url http://www.sciencedirect.com/science/article/pii/S2214442020304101
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AT lucasdeoramos transfixedjejunumlesionduetopercutaneousnephrolithotomy
AT marcelacleite transfixedjejunumlesionduetopercutaneousnephrolithotomy
AT felipeupmartins transfixedjejunumlesionduetopercutaneousnephrolithotomy
AT paulorobertocjunior transfixedjejunumlesionduetopercutaneousnephrolithotomy
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