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Case Reports
, 11 (12), e6298

Splenic Injury During Percutaneous Nephrolithotomy: A Case Report of a Rare Complication

Case Reports

Splenic Injury During Percutaneous Nephrolithotomy: A Case Report of a Rare Complication

Deniz Noyan Ozlu et al. Cureus.


Percutaneous nephrolithotomy has often been the preferred method for large and complex kidney stones. During percutaneous access to the collecting system, we encounter organ injuries due to anatomic neighborhoods. However, splenic injury is a relatively rare complication. We aimed to report how the complication process was managed conservatively in our case with transsplenic access. Then, a brief literature review on management strategy in similar conditions is highlighted.

Keywords: conservative management; percutaneous nephrolithotomy; splenic injury.

Conflict of interest statement

The authors have declared that no competing interests exist.


Figure 1
Figure 1. Coronal (left) and axial (right) view of the staghorn calculi filling his left kidney pelvis and lower pole
Figure 2
Figure 2. The nephrostomy tube transplenically reached the kidney (left) and the collection area, which extended to 33 mm at its widest in the perisplenic area (right)
Figure 3
Figure 3. Coronal (left) and axial (right) view of the loculated collection of approximately 111x54 mm in the perisplenic area

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