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Case Reports
. 2020 Dec 3:35:101521.
doi: 10.1016/j.eucr.2020.101521. eCollection 2021 Mar.

Transfixed jejunum lesion due to percutaneous nephrolithotomy

Victor S S Fanni  1 , Lucas de O Ramos  1 , Marcela C Leite  2 , Felipe U P Martins  1 , Paulo Roberto C Júnior  1 , Humberto E Lopes  1
Affiliations
Case Reports

Transfixed jejunum lesion due to percutaneous nephrolithotomy

Victor S S Fanni et al. Urol Case Rep. .

Abstract

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.

Keywords: Jejunal perforation; Percutaneous nephrolithotomy; Percutaneous renal surgery; Small bowel perforation; Small bowel transfixing lesion.

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Conflict of interest statement

No competing financial interests exist.

Figures

Fig. 1
Fig. 1
Radiography with contrast injection through nephrostomy catheter showing contrast in the small bowel.
Fig. 2
Fig. 2
Intraoperative (laparotomy) photography showing transfixing jejunum lesion.
Fig. 3
Fig. 3
Computed tomography showing nephrostomy catheter transfixing the small bowel.
See this image and copyright information in PMC

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