Postoperative bile peritonitis after percutaneous nephrolithotomy: case analysis and treatment strategy

A E Konyushkin

doi:10.21886/2308-6424-2019-7-2-112-116

Abstract

A case retrospective analysis of the gallbladder's injury during percutaneous nephrolithotomy was performed which occurred in the Sayansk Town Hospital. The data of instrumental examination, tactics of intra- and postoperative treatment are presented. For this topic, the literature of PubMed database for the last 25 years has been analyzed by keywords: percutaneous nephrolithotomy, kidney stone, gallbladder, cholecystostomy, trauma. 11 cases of gallbladder's injury during performing percutaneous nephrolithotomy was selected with 8 of which required cholecystectomy. In one case, conservative treatment of gallbladder's perforation was applied. Percutaneous cholecystostomy and papillosphincterotomy cases with retrograde cholangiopancreatography and stenting of the common bile duct are also described.

Highlights

A case retrospective analysis of the gallbladders injury during percutaneous nephrolithotomy was performed which occurred in the Sayansk Town Hospital
The literature of PubMed database for the last 25 years has been analyzed by keywords: percutaneous nephrolithotomy, kidney stone, gallbladder, cholecystostomy, trauma. 11 cases of gallbladders injury during performing percutaneous nephrolithotomy was selected with 8 of which required cholecystectomy
Saxby M.F. и Ficher M.B. et al описали по одному случаю перфорации желчного пузыря, которые были диагностированы через 48 часов после процедуры, в обоих случая проведена лапароскопическая холецистэктомия [5, 6]

Summary

КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ

Желчный перитонит после чрескожной нефролитотомии: анализ клинических случаев и тактика лечения. Проведён ретроспективный анализ случая повреждения желчного пузыря вовремя чрескожной нефролитотомии, который произошёл в Саянской городской больнице. Отобрано 11 случаев повреждения желчного пузыря при выполнении чрескожной нефролитотомии, 8 из которых привели к необходимости выполнения холецистэктомии. Postoperative bile peritonitis after percutaneous nephrolithotomy: case analysis and treatment strategy. A case retrospective analysis of the gallbladders injury during percutaneous nephrolithotomy was performed which occurred in the Sayansk Town Hospital. The data of instrumental examination, tactics of intra- and postoperative treatment are presented. For this topic, the literature of PubMed database for the last 25 years has been analyzed by keywords: percutaneous nephrolithotomy, kidney stone, gallbladder, cholecystostomy, trauma.

Вестник урологии Urology Herald

Клинический случай