Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017;2017:7430328.
doi: 10.1155/2017/7430328. Epub 2017 Nov 15.

Nontraumatic Acute Elevation of Pancreatic Enzymes Following Percutaneous Nephrolithotomy: A Rare Complication

Affiliations
Free PMC article
Case Reports

Nontraumatic Acute Elevation of Pancreatic Enzymes Following Percutaneous Nephrolithotomy: A Rare Complication

Nikolaos Ferakis et al. Case Rep Urol. .
Free PMC article

Abstract

Herein, we report the case of a 48-year-old female who developed nontraumatic acute pancreatitis following left supracostal Percutaneous Nephrolithotomy. Three hours postoperatively, the patient developed fever with signs and symptoms consistent with hydrothorax, which was confirmed radiologically and was managed conservatively. The following days, the patient developed manifestations of Systemic Inflammatory Response Syndrome with epigastric pain, nausea, and vomiting. Blood, urine, and sputum cultures were negative. Serum amylase and lipase levels were elevated 3 and 13 times above the normal level, respectively. Imaging studies revealed no pathologic findings from pancreas. These findings were consistent with the diagnosis of acute pancreatitis.

Figures

Figure 1
Figure 1
Preoperative plain X-ray of the kidney, ureter, and bladder region showing a partial staghorn left renal stone.
Figure 2
Figure 2
Chest X-ray (three hours postoperatively) demonstrating left pleural effusion.
Figure 3
Figure 3
Abdominal CT scan (fourth postoperative day) demonstrating no pathologic findings from pancreas and nephrostomy tube in the left renal pelvis.

Similar articles

See all similar articles

Cited by 1 article

References

    1. Seitz C., Desai M., Häcker A., et al. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. European Urology. 2012;61(1):146–158. doi: 10.1016/j.eururo.2011.09.016. - DOI - PubMed
    1. Chitale S., Mbakada R., Burgess N. Pancreatitis following percutaneous nephrolithotomy. Scandinavian Journal of Urology. 2005;39(3):251–253. doi: 10.1080/00365590510007702. - DOI - PubMed
    1. Sekar H., Krishnamoorthy S., Kumaresan N., Ramanan V. Supracostal punctures for PCNL: Factors that predict safety, success and stone free rate in stag horn and non-stag horn stones: A single centre experience and review of literature. Journal of Clinical and Diagnostic Research. 2016;10(9):PC17–PC21. doi: 10.7860/JCDR/2016/21875.8505. - DOI - PMC - PubMed
    1. Osman M., Wendt-Nordahl G., Heger K., Michel M. S., Alken P., Knoll T. Percutaneous nephrolithotomy with ultrasonography-guided renal access: experience from over 300 cases. BJU International. 2005;96(6):875–878. doi: 10.1111/j.1464-410x.2005.05749.x. - DOI - PubMed
    1. Tenner S., Baillie J., Dewitt J., Vege S. S. American college of gastroenterology guideline: management of acute pancreatitis. The American Journal of Gastroenterology. 2013;108(9):1400–1415. - PubMed

Publication types

LinkOut - more resources

Feedback