Abdominal Compartment Syndrome: A Rare but Fatal Complication of Percutaneous Nephrolithotomy
Sujeet Poudyal, Bipendra Dhoj Kulung Rai, Pawan Dhital, Manish Pradhan, Suman Chapagain, Bhoj Raj Luitel, Pawan Raj Chalise, Uttam Kumar Sharma, Prem Raj Gyawali
Asian Journal of Research and Reports in Urology · pp. 1–5 · Published 19 Jul 2018
Abstract
Background: Percutaneous Nephrolithotomy (PCNL) is the standard of treatment for large renal stones. Intra-abdominal hypertension during PCNL due to extravasation of irrigation fluid in the peritoneal cavity may lead to organ dysfunction and may be fatal if not intervened on time. Case Presentation: We report a case of abdominal compartment syndrome as a complication of PCNL. After a timely diagnosis, the case was managed successfully with percutaneous intraperitoneal drainage. Conclusion: It is imperative to be aware of raised intra-abdominal pressure during PCNL to prevent abdominal compartment syndrome and to avoid its fatal outcome.
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