Nephrostomy Tube Placed in the Vena Cava as a Complication of Percutaneous Nephrolithotomy: A Case Report
Abstract
Percutaneous nephrolithotomy (PNL) is an important approach for removing kidney stones. Percutaneous nephrostomy drainage tube placement is performed to prevent extravasation and ensure hemostasis after PNL surgery. In this case, we will report on the successful conservative removal of the nephrostomy tube extending into the inferior vena cava, which was inserted to provide hemostasis after unilateral PNL surgery. Sometimes, as in our case, the catheter may perforate the renal parenchyma and extend into the renal vein or even the vena cava. In our case, the nephrostomy tube was located in the inferior vena cava (IVC). In case of possible massive bleeding that we could not control, the catheter was removed under fluoroscopy in the presence of the Cardiovascular Surgery-Interventional Radiology team. The patient had no problems during follow-up and was discharged successfully.
References
- 1. Mazzucchi, E., Mitre, A., Brito, A., Arap, M., Murta, C. et al (2009). Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: two case reports. Clinics (Sao Paulo, Brazil), 64(1), 69-70. https://doi.org/10.1590/s1807-59322009000100013
- 2. Seitz, C., Desai, M., Häcker, A., Hakenberg, O. W., Liatsikos, E. et al.(2012). Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. European urology, 61(1), 146-158. https://doi. org/10.1016/j.eururo.2011.09.016
- 3. Lingeman JE, Matlaga BR, Evan AP. Surgical management of upper urinary tract calculi. In: Wein AJ, et al., editors. Campbell-Walsh Urology. 9th edition.Philadelphia: Saunders; 2007. p. 1500. https://doi.org/10.1016/j. juro.2009.01.023
- 4. Winfield HN, Weyman P, Clayman RV. Percutaneous nephrostolithotomy: Complications of premature nephrostomy tube removal. J Urol. 1986;136:77–9. https://doi.org/10.1016/s0022-5347(17)44733-1
- 5. AbdelAziz, H. H., & Gad, M. H (2023). Successful Management of an Inadvertent Placement of a Nephrostomy Tube Into the Inferior Vena Cava Following Percutaneous Nephrolithotomy: A Case Discussion and Literature Review of a Rare Complication. Cureus, 15(8), e44422. https://doi.org/10.7759/cureus.44422
- 6. Liu, J., Jiang, B., Mao, J., Zeng, Z., Gong, L., et al (2020). Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: a case report and literature review. The Journal of international medical research, 48(12), 300060520979447. https://doi.org/10.1177/0300060520979447
- 7. Abrate, A., Tulone, G., Giaimo, R., & Simonato, A (2020). Percutaneous Nephrostomy Catheter Misplacement into Inferior Vena Cava in a Patient with a Horseshoe Kidney. Journal of endourology case reports, 6(3), 202–204. https://doi.org/10.1089/cren.2020.0012
- 8. Xiong, W., Wei, W., Ju, X., Hu, W., Xu, Y., et al (2024). Intravenous misplacement of the nephrostomy catheter into the inferior vena cava and secondary thrombosis following percutaneous nephrostolithotomy: A case report and literature review. Heliyon, 10(14), e34495. https://doi.org/10.1016/j.heliyon.2024.e34495
Abstract
Perkütan nefrolitotomi (PNL), böbrek taşlarının çıkarılması için önemli bir yaklaşımdır. Perkütan nefrostomi drenaj tüpü yerleştirilmesi, PNL ameliyatı sonrası ekstravazasyonu önlemek ve hemostazı sağlama amacıyla yapılır. Bu vakada da tek taraflı PNL ameliyatı sonrasında hemostaz sağlama amacıyla takılan inferior vena kavaya uzanan nefrostomi tüpünün başarılı şekilde konservatif olarak çekilmesini bildireceğiz. Bizim vakamızda olduğu gibi bazen, kateter böbrek parankimini perfore edebilir ve renal vene hatta vena kavaya kadar uzanabilir. Vakamızda nefrostomi tüpü inferior vena cava (İVC) içerisinde yer almaktaydı. Kontrol altına alamadığımız olası masif kanama durumunda Kalp Damar Cerrahisi-Girişimsel Radyoloji ekibinin de bulunduğu vakada floroskopi altında katater çekilmesi uygulandı. Hastanın takiplerinde bir sıkıntı izlenmedi ve başarıyla taburcu edildi.
Ethical Statement
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Supporting Institution
Yazarlar olarak bu çalışmanın finansal destek almadığını beyan ediyoruz.
References
- 1. Mazzucchi, E., Mitre, A., Brito, A., Arap, M., Murta, C. et al (2009). Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: two case reports. Clinics (Sao Paulo, Brazil), 64(1), 69-70. https://doi.org/10.1590/s1807-59322009000100013
- 2. Seitz, C., Desai, M., Häcker, A., Hakenberg, O. W., Liatsikos, E. et al.(2012). Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. European urology, 61(1), 146-158. https://doi. org/10.1016/j.eururo.2011.09.016
- 3. Lingeman JE, Matlaga BR, Evan AP. Surgical management of upper urinary tract calculi. In: Wein AJ, et al., editors. Campbell-Walsh Urology. 9th edition.Philadelphia: Saunders; 2007. p. 1500. https://doi.org/10.1016/j. juro.2009.01.023
- 4. Winfield HN, Weyman P, Clayman RV. Percutaneous nephrostolithotomy: Complications of premature nephrostomy tube removal. J Urol. 1986;136:77–9. https://doi.org/10.1016/s0022-5347(17)44733-1
- 5. AbdelAziz, H. H., & Gad, M. H (2023). Successful Management of an Inadvertent Placement of a Nephrostomy Tube Into the Inferior Vena Cava Following Percutaneous Nephrolithotomy: A Case Discussion and Literature Review of a Rare Complication. Cureus, 15(8), e44422. https://doi.org/10.7759/cureus.44422
- 6. Liu, J., Jiang, B., Mao, J., Zeng, Z., Gong, L., et al (2020). Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: a case report and literature review. The Journal of international medical research, 48(12), 300060520979447. https://doi.org/10.1177/0300060520979447
- 7. Abrate, A., Tulone, G., Giaimo, R., & Simonato, A (2020). Percutaneous Nephrostomy Catheter Misplacement into Inferior Vena Cava in a Patient with a Horseshoe Kidney. Journal of endourology case reports, 6(3), 202–204. https://doi.org/10.1089/cren.2020.0012
- 8. Xiong, W., Wei, W., Ju, X., Hu, W., Xu, Y., et al (2024). Intravenous misplacement of the nephrostomy catheter into the inferior vena cava and secondary thrombosis following percutaneous nephrostolithotomy: A case report and literature review. Heliyon, 10(14), e34495. https://doi.org/10.1016/j.heliyon.2024.e34495
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Urology |
| Journal Section | Case Report |
| Authors | |
| Publication Date | May 30, 2025 |
| Submission Date | January 24, 2025 |
| Acceptance Date | May 25, 2025 |
| Published in Issue | Year 2025 Volume: 17 Issue: 2 |
