Abstract | INTRODUCTION: CASE PRESENTATION: Herein for the first time, we report a 39-year old woman with biliary tract injury following percutaneous nephrolithotomy who was managed less invasively by insertion of a percutaneous cholecystostomy tube. The patient was discharged home shortly thereafter, and the tube was later removed at a follow up visit after a normal cholangiogram. CONCLUSIONS: Biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality. If a biliary tract injury is suspected during percutaneous renal procedures, diverting the bile away from the leak may resolve the problem without the need for a cholecystectomy. Ideally this can be done with ERCP and a stent, but in cases where this is not technically feasible; a percutaneous cholecystostomy can be successful at accomplishing the same result.
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Authors | Ata A Rahnemai-Azar, Amir A Rahnemaiazar, Rozhin Naghshizadian, Jacob H Cohen, Iman Naghshizadian, Brian F Gilchrist, Daniel T Farkas |
Journal | Nephro-urology monthly
(Nephrourol Mon)
Vol. 6
Issue 5
Pg. e19943
(Sep 2014)
ISSN: 2251-7006 [Print] Netherlands |
PMID | 25695033
(Publication Type: Case Reports)
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