An Unusual Complication of Colonic Perforation Following Percutaneous Nephrostomy in a Grade IV Blunt Renal Injury Patient
Joan Gan Cheau Yan, MBBS1,2, Tan Jih Huei, MRCS1,2, Henry Tan Chor Lip, M.D.1,2, Yuzaidi Mohamad, M.Med Surg1, Rizal Imran Alwi, M.Med Surg1
1General Surgery Department, Hospital Sultanah Aminah, Johor Bahru, Malaysia
2Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Malaysia
2Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Malaysia
Correspondence to: Joan Gan Cheau Yan, MBBS, General Surgery Department, Hospital Sultanah Aminah, Jalan Abu Bakar, 80100 Johor Bahru, Johor Darul Takzim, Malaysia, Tel: +60-12-700-7995 Fax: +60-7-226-1028 E-mail: cyjoan2020@gmail.com
Received March 25, 2019; Revised March 11, 2019; Accepted March 30, 2019.
- Abstract
- Percutaneous nephrostomy is relatively safe for temporary urinary diversion. However, colonic perforation due to percutaneous nephrostomy can happen with an incidence of 0.2% as reported in the English literatures. To our knowledge, this is the first case being reported as a complication following treatment for traumatic renal injury. This paper is to share our treatment approach which differs from the usual approach according to existing literatures. We report on a young man who sustained grade IV renal injury due to blunt trauma and was managed conservatively. The treatment of traumatic renal injury via urinary diversion was complicated with an iatrogenic colonic perforation. The management and subsequent treatment of this patient is discussed in this case report.
- Keywords : Nephrostomy; Iatrogenic disease; Kidney; Urinary diversion; Wound, Nonpenetrating
- March 2020, 33 (1)
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