Colonic Perforation during Percutaneous Nephrolithotomy Treated Conservatively
M Tan, P Uei, PS Jaywantraj, D Wong
Hong Kong J Radiol 2010;12:117-21
Colonic perforation is a rare complication occurring during percutaneous nephrostomy. This report describes a patient with this complication, which was clinically silent. The patient was treated by conversion of the nephrostomy to a colostomy, followed by removal of the nephrostomy catheter. Similar cases reported in the literature have been treated conservatively. As colonic perforation is often contained in the retroperitoneum, the condition has a mild clinical presentation. This report discusses the anatomical variants and risk factors that contribute to colonic perforation, and outlines the principles of treatment without the need for surgical intervention.
中文摘要
經皮腎鏡取石術誘發結腸穿孔的保守治療
M Tan, P Uei, PS Jaywantraj, D Wong
結腸穿孔是經皮腎鏡取石術的少見手術併發症之一。本文報導一例存在該併發症但臨床表現隱匿的 患者情況。術中首先將患者腎臟造瘺轉換為結腸造瘺，隨後拔除腎造瘺管。文獻報導中類似病例採 取保守治療。由於結腸穿孔通常局限於腹膜外腔，因此患者臨床症狀較輕。本文將討論誘發結腸穿 孔的解剖變異和危險因素，並歸納非手術治療的原則。