Inadvertent insertion of nephrostomy tube into the renal vein following percutaneous nephrolithotomy: A case report and literature review

Guangju Ge; Zhenghui Wang; Mingchao Wang; Gonghui Li; Zuhao Xu; Yukun Wang; Shawpong Wan

doi:10.1016/j.ajur.2018.06.003

Inadvertent insertion of nephrostomy tube into the renal vein following percutaneous nephrolithotomy: A case report and literature review

Asian J Urol. 2020 Jan;7(1):64-67. doi: 10.1016/j.ajur.2018.06.003. Epub 2018 Jun 21.

Authors

Guangju Ge¹, Zhenghui Wang¹, Mingchao Wang¹, Gonghui Li¹, Zuhao Xu¹, Yukun Wang¹, Shawpong Wan²

Affiliations

¹ Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
² Department of Urology, First People's Hospital of Xiaoshan, Hangzhou, China.

Abstract

Percutaneous nephrolithotomy (PCNL) is an effective and well accepted procedure for the treatment of large and complex renal calculi. We encountered a patient with a misplaced percutaneous nephrostomy drainage tube (PNDT) into the contralateral renal vein resulting thrombus formation after undergoing right side PCNL. We placed a temporary filter to prevent embolism and started anti-coagulation therapy immediately and finally the PNDT was removed without bleeding.

Keywords: Complication; Embolization; Inferior vena cava; Percutaneous nephrolithotomy; Renal calculus.

Publication types

Case Reports