Colonic Perforation during Percutaneous Nephrolithotomy Treated Conservatively

Colonic perforation is a rare complication occurring during percutaneous nephrostomy. This report describes a patient with this complication, which was clinically silent. The patient was treated by conversion of the nephrostomy to a colostomy, followed by removal of the nephrostomy catheter. Similar cases reported in the literature have been treated conservatively. As colonic perforation is often contained in the retroperitoneum, the condition has a mild clinical presentation. This report discusses the anatomical variants and risk factors that contribute to colonic perforation, and outlines the principles of treatment without the need for surgical