Negrete-Pulido OR, Molina-Torres M, Gutiérrez-Aceves J

Language: Spanish
References: 21
Page: 44-47
PDF size: 286.58 Kb.

ABSTRACT

Although colonic perforation is an extremely rare complication of percutaneous kidney surgery, with a 1% incidence, it can have potentially serious consequences. The objective of this article is to emphasize the most important points for the prevention, diagnosis and management of this serious complication by presenting an illustrative case.
Prevention is based on adequate preoperative evaluation and the identification of high-risk patients. Among the most important risk factors are: advanced age and abnormalities such as horseshoe kidney. Early diagnosis and treatment are extremely important since approximately 85% of cases can be managed conservatively. However, strict vigilance should be carried out in order to detect any sign of clinical deterioration such as peritonitis or sepsis and thus establish aggressive and opportune treatment.

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