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. 2014 Nov;8(11-12):E862-6.
doi: 10.5489/cuaj.2154.

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Barbara Chubak  1 , Joshua M Stern  1
Affiliations

An unusual presentation of colon perforation following percutaneous nephrolithotomy

Barbara Chubak et al. Can Urol Assoc J. 2014 Nov.

Abstract

Colon perforation is a rare but serious complication of percutaneous nephrolithotomy (PCNL), meriting particular attention to its signs and symptoms for prompt diagnosis and treatment. We report an unusual presentation of colon perforation following tubeless PCNL, characterized by sore throat, pneumomediastinum, and neck and shoulder crepitus. In addition to the details of this case, we review the current literature on bowel injury during PCNL and its management.

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Figures

Fig. 1.
Fig. 1.
Location of percutaneous access.
Fig. 2.
Fig. 2.
Chest x-Ray, postoperative day 1.
Fig. 3.
Fig. 3.
Computed tomography scan demonstrating colon perforation.
See this image and copyright information in PMC

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