Life-threatening abdominal compartment syndrome as a complication of supine super mini percutaneous nephrolithotomy, the first case report and literature review

Urol Case Rep. 2021 Jan 19:36:101578. doi: 10.1016/j.eucr.2021.101578. eCollection 2021 May.

Abstract

Abdominal compartment syndrome is a life-threatening complication of conventional percutaneous nephrolithotomy (PCNL), with few cases reported in different positions. We present the first case of abdominal compartment syndrome as a complication of supermini percutaneous nephrolithotomy (SMP) in The Galdakao-modified supine Valdivia position, possibly predisposing factors, diagnosis, and management. Although it is a challenging diagnosis and life-threatening condition, morbidity and mortality can be decreased with early detection and drainage of the intra-peritoneal fluid, causing increased abdominal pressure, which is the most important prognostic factor.

Keywords: Compartment syndrome; Endourology; Life-threatening complication; Percutaneous nephrolithotomy; Supermini; Supine percutaneous nephrolithotomy.

Publication types

  • Case Reports