 |
Case Report
Transient flank bulge after percutaneous nephrolithotomy
1 Deputy Director for Medical Affairs (Urology), Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia
2 Urologist, Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia
3 Urologist, Department of Urology, Saint-Petersburg State University Hospital, Saint- Petersburg, Russia
4 Head of Department of Urology, Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg, Russia
Address correspondence to:
Aram Aloyan
Komendantskiy pr. 12-1-113, 197372 Saint-Petersburg,
Russia
Message to Corresponding Author
Article ID: 100032Z15NG2023
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Gadzhiev N, Aloyan A, Petrov A, Gorgotsky I, Shkarupa A. Transient flank bulge after percutaneous nephrolithotomy. J Case Rep Images Urol 2023;8(1):17–19.ABSTRACT
Introduction: Percutaneous nephrolithotomy (PCNL) is considered as the “gold standard” treatment for large (>2 cm) and complex kidney stones. We present a case of transient tone loss of the anterolateral abdominal wall, which is a rare complication after PCNL.
Case Report: A 50-year-old male with a complete staghorn stone of the right kidney underwent standard PCNL in prone position at the 11th intercostal space. On the 6th post-operative day the patient complained on painless bulge in the right flank. Computed tomography (CT) scan in supine position revealed no signs of herniation, retroperitoneal hematoma, or residual fragments. Flank bulge was attributed to the muscle tone loss either because of the 11th intercostal nerve injury by the needle or nerve compression by the Amplatz sheath. Within next six months flank bulge has completely resolved.
Conclusion: Flank bulge after PCNL although rare but possible and transient condition. Nerve injury seems to be the most likely cause.
Keywords: Complications, Flank bulge, Percutaneous nephrolithotomy, Urolithiasis
SUPPORTING INFORMATION
Acknowledgments
This research has received no external funding.
Author ContributionsNariman Gadzhiev - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Aram Aloyan - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Alexandr Petrov - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ivan Gorgotsky - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Andrei Shkarupa - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Nariman Gadzhiev et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
