Open AccessBiliary peritonitis due to gall bladder perforation after percutaneous nephrolithotomy
Author(s) -
Nikhil Ranjan,
Rana Pratap Singh,
Rajesh Kumar Tiwary
Publication year - 2015
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.156920
Subject(s) - medicine , exploratory laparotomy , perforation , percutaneous nephrolithotomy , surgery , cholecystectomy , laparotomy , peritonitis , abdomen , percutaneous , materials science , punching , metallurgy
A 19-year-old male patient underwent right percutaneous nephrolithotomy (PNL) for right renal 1.5 × 1.5 cm lower pole stone. The procedure was completed uneventfully with complete stone clearance. The patient developed peritonitis and shock 48 h after the procedure. Exploratory laparotomy revealed a large amount of bile in the abdomen along with three small perforations in the gall bladder (GB) and one perforation in the caudate lobe of the liver. Retrograde cholecystectomy was performed but the patient did not recover and expired post-operatively. This case exemplifies the high mortality of GB perforation after PNL and the lack of early clinical signs.