Splenic Injury During Percutaneous Nephrolithotomy
نویسندگان
چکیده
BACKGROUND Injury to the spleen is a recognized complication during percutaneous renal access due to the close anatomical relationship of the spleen and the left kidney. However, transsplenic renal access is a rare complication of percutaneous nephrolithotomy and can also result in considerable morbidity, often requiring emergent splenectomy. METHODS We present our experience with splenic injury during percutaneous nephrolithotomy managed conservatively with the use of a collagen-thrombin hemostatic sealant (D-Stat; Vascular Solutions, Inc., Minneapolis, MN) after delayed removal of the nephrostomy tubes. RESULTS The patient had an uneventful recovery and was discharged home on postoperative day 6. CONCLUSION In select hemodynamically stable patients, nonoperative management with the adjunctive use of hemostatic sealants may be considered.
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