Abdominal Compartment Syndrome: A Rare but Fatal Complication of Percutaneous Nephrolithotomy

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Sujeet Poudyal
Bipendra Dhoj Kulung Rai
Pawan Dhital
Manish Pradhan
Suman Chapagain
Bhoj Raj Luitel
Pawan Raj Chalise
Uttam Kumar Sharma
Prem Raj Gyawali

Abstract

Background: Percutaneous Nephrolithotomy (PCNL) is the standard of treatment for large renal stones. Intra-abdominal hypertension during PCNL due to extravasation of irrigation fluid in the peritoneal cavity may lead to organ dysfunction and may be fatal if not intervened on time.

Case Presentation: We report a case of abdominal compartment syndrome as a complication of PCNL. After a timely diagnosis, the case was managed successfully with percutaneous intraperitoneal drainage.

Conclusion: It is imperative to be aware of raised intra-abdominal pressure during PCNL to prevent abdominal compartment syndrome and to avoid its fatal outcome.

Keywords:
Abdominal compartment syndrome, Intra-abdominal pressure, peak airway pressure, percutaneous nephrolithotomy, pigtail drain

Article Details

How to Cite
Poudyal, S., Rai, B., Dhital, P., Pradhan, M., Chapagain, S., Luitel, B. R., Chalise, P. R., Sharma, U., & Gyawali, P. (2018). Abdominal Compartment Syndrome: A Rare but Fatal Complication of Percutaneous Nephrolithotomy. Asian Journal of Research and Reports in Urology, 1(1), 1-5. Retrieved from http://journalajrru.com/index.php/AJRRU/article/view/25438
Section
Case Report