Colon injury during percutaneous nephrolithotomy (clinical case, literature review)

• Published in: Urologii͡a︡ (Moscow, Russia : 1999) no. 1; p. 100
• Main Authors: Shkodkin S, V, Idashkin Y, B, Zubaidi M, A Z, Khuseinzoda A, F, Askari Z, K, Ponomarev E, G, Nechiporenko V, Y, Shkodkin K, S
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 01.03.2024
• Subjects: Colon - injuries; Colon - surgery; Humans; Male; Nephrolithotomy, Percutaneous - adverse effects; urolithiasis; colon injury; percutaneous nephrolithotomy; retrorenal colon
• ISSN: 1728-2985
• DOI: 10.18565/urology.2024.1.100-106

Urolithiasis occupies one of the leading places in terms of the frequency of requests for urgent urological care and emergency hospitalization in specialized departments. Percutaneous surgery for urolithiasis, like any of the surgical methods, is associated with a number of specific and non-specific complications. Of course, the frequency of occurrence is dominated by hemorrhagic and inflammatory complications. But damage to the colon is quite rare and amounts to 0.3-0.4%. Focusing on the literature data, it is possible to identify risk factors for colon damage and clinical manifestations of this complication. Given the small clinical experience, both in the world and in the domestic literature, there is no recommendatory base for the management of patients with colon damage during percutaneous interventions. Publications available for analysis indicate the possibility of both an operative approach with the removal of a colostomy and conservative management of patients with such complications. The article presents a clinical observation of successful conservative management of a patient with damage to the descending colon during percutaneous nephrolithotomy. An assessment of risk factors for colon damage in this patient was given. Imaging methods are presented that confirm the presence of this complication and the resulting recovery during the follow-up examination.