Work

Gall Bladder Perforation During Percutaneous Nephrolithotripsy: Lessons Learned

Year: 2024

Type: article

Abstract: Percutaneous nephrolithotripsy (PCNL) is the recommended procedure for patients with large and complex renal calculi. Visceral injuries are rare complications of this procedure. A distended gall bladder (GB) that abuts the right kidney is more prone to needle puncture-related injuries. A GB injury leading to peritonitis portends a poorer prognosis. We report a case of GB perforation that happened after an otherwise uneventful PCNL, which was managed with a prompt intraoperative decision of performing laparoscopic cholecystectomy. The initial puncture yielded a straw-colored, gelatinous aspirate, alerting the treating surgeon. After the completion of the PCNL, a diagnostic laparoscopy was performed. The GB was found to be injured and a bile leak was observed. Elective cholecystectomy was performed. Awareness of this potentially lethal complication and a high index of clinical suspicion is mandatory, as early diagnosis and prompt management can prevent mortality in such patients.

Source: Cureus

DOI: 10.7759/cureus.69909

Authors: Nakul Aher, Subash Kaushik TG, Rubina Singh, Hariharasudhan Sekar, Sriram Krishnamoorthy

Institution: Sri Ramachandra Institute of Higher Education and Research

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402713615