Evidence map›Paper›PMID 35321709›Full record

ArticleBMC surgery2022

Acute pulmonary embolism and severe post thrombolysis renal bleeding, two deadly complications following mini-percutaneous nephrolithotomy: a rare case report.

Feng-Qi Wang, Wan-Zhang Liu, He-Sheng Yuan, Ting Huang, Zheng-Yi Wang, Jin-Feng Pan, Ze-Jun Yan, Yue Cheng

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Feng-Qi WangDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
Wan-Zhang LiuDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
He-Sheng Yuan *Department of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China. yhsurology@163.com.
Ting HuangDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
Zheng-Yi WangDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
Jin-Feng PanDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
Ze-Jun YanDepartment of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China.
Yue Cheng *Department of Urology, Ningbo First Hospital, The Affiliated Hospital of Ningbo University, #59 Liuting Street, Ningbo City, 315010, Zhejiang Province, China. dongbaba8@hotmail.com.
Ningbo First Hospital · CNNingbo University · CNNingbo University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute pulmonary embolism and severe renal bleeding are two lethal postoperative complications, but there has been no report that involves both of them after mini-percutaneous nephrolithotomy. CASE PRESENTATION: A 62-year-old woman was admitted to our hospital with extremely severe hydronephrosis and multiple right renal calculi. After thorough examination, she received prone-position mini-percutaneous nephrolithotomy under spinal anaesthesia. Three days postoperatively, the patient complained of chest pain and dyspnea. Computed tomography pulmonary angiogram (CTPA) showed multiple embolisms in the left pulmonary artery and its branches. Symptoms were relieved after anticoagulant and thrombolysis therapy. On the 6th postoperative day, the patient developed shortness of breath, computed tomography angiography (CTA) showed massive hemorrhage in the right kidney, diffused contrast medium in the middle and lower part of the right kidney was seen during digital substraction angiography (DSA). Superselective right renal artery embolization (SRAE) was then applied using coil to occlude the responsible artery. The patient generally recovered under conscientious care and was approved to be discharged 26 days postoperatively.

conclusionsThis is the first case that involved both acute pulmonary embolism and severe post thrombolysis renal bleeding. The importance of D-dimer in the prediction and early detection of pulmonary embolism should be noted. For post thrombolysis renal bleeding, SRAE is considered as a reliable treatment.

Indexed as

Nephrolithotomy, PercutaneousNephrostomy, PercutaneousPulmonary EmbolismFemaleHemorrhageHumansKidneyMiddle AgedRenal ArteryThrombolytic TherapyComplicationD-dimerMini-percutaneous nephrolithotomyPulmonary embolismRenal bleedingSuperselective renal artery embolizationThrombolytic therapy

Identifiers

PMID35321709
PMCPMC8944081
OpenAlexW4220679906

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.