[CT findings complicating percutaneous nephrostomy, lithotomy and lithotripsy].
S. Kanazawa, T Douke, Tohru Araki, Hitoshi Takamoto, Michio Yoshida, Koichiro Hata, Kohei Yasui
Abstract
S. Kanazawa, T Douke, Tohru Araki, Hitoshi Takamoto, Michio Yoshida, Koichiro Hata, Kohei Yasui
Abstract
Reviews of the CT scans of percutaneous nephrostomy, lithotomy and lithotripsy disclosed 14 out of 78 cases (17.9%) with evidence of complications. Renal and perirenal hematomas were detected in five cases and the other five cases showed collections of contrast material in the retroperitoneum except for the anterior pararenal space. CT demonstrated clearly the anatomic distribution and extent of renal hemorrhage and extravasation of contrast material. Three cases of pleural effusion on CT were accompanied by blood or contrast material collections in the posterior pararenal space. No patients required immediate surgery and CT findings helped the choice of conservative therapies.
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Reviews of the CT scans of percutaneous nephrostomy, lithotomy and lithotripsy disclosed 14 out of 78 cases (17.9%) with evidence of complications. Renal and perirenal hematomas were detected in five cases and the other five cases showed collections of contrast material in the retroperitoneum except for the anterior pararenal space. CT demonstrated clearly the anatomic distribution and extent of renal hemorrhage and extravasation of contrast material. Three cases of pleural effusion on CT were accompanied by blood or contrast material collections in the posterior pararenal space. No patients required immediate surgery and CT findings helped the choice of conservative therapies.
Key concepts: Medicine, Lithotomy position, Percutaneous nephrostomy, Lithotripsy, Nephrostomy, Extravasation, Radiology, Percutaneous