Top-Notch Minimal Invasive approach for Nephrostomy Tube Misplacement in the Inferior Vena Cava: Solving an unimaginable Problem
Fecha
2022-08Autor
Resumen
Introduction: Percutaneous nephrostomy tube placement is a procedure performed on the daily basis in the urological
practice. The main indication is to relieve urinary tract obstruction. Most series report a complication rate of 10% with a
mortality rate between 0.05-0.3%. Intravenous misplacement of a nephrostomy catheter is a rare complication of PCNT,
the inadequate treatment can lead to fatal consequences. Case Presentation: A 49-year-old woman who presented with a
clinical diagnosis of right pyelonephritis and hydronephrosis. A nephrostomy tube catheter was misplaced in the inferior
vena cava. Accommodation into the collecting system was achieved by an endovascular approach. No complications were
recorded. Conclusion: Misplacement of a nephrostomy catheter in the venous system is an extremely rare complication. The
ideal treatment is to remove the catheter with a minimally invasive technique. An endovascular approach to accommodate
the catheter in the collecting system or even remove it is a safe approach.
Abstract
Introduction: Percutaneous nephrostomy tube placement is a procedure performed on the daily basis in the urological
practice. The main indication is to relieve urinary tract obstruction. Most series report a complication rate of 10% with a
mortality rate between 0.05-0.3%. Intravenous misplacement of a nephrostomy catheter is a rare complication of PCNT,
the inadequate treatment can lead to fatal consequences. Case Presentation: A 49-year-old woman who presented with a
clinical diagnosis of right pyelonephritis and hydronephrosis. A nephrostomy tube catheter was misplaced in the inferior
vena cava. Accommodation into the collecting system was achieved by an endovascular approach. No complications were
recorded. Conclusion: Misplacement of a nephrostomy catheter in the venous system is an extremely rare complication. The
ideal treatment is to remove the catheter with a minimally invasive technique. An endovascular approach to accommodate
the catheter in the collecting system or even remove it is a safe approach.
Keywords
URI
http://repositorio.mederi.com.co/handle/123456789/677https://api.asclepiusopen.com/storage/articles/cru/volume4-issue1/cru-4103.pdf
Colecciones
- Investigación clínica [389]