ArticleCureus2024
Gall Bladder Perforation During Percutaneous Nephrolithotripsy: Lessons Learned.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Percutaneous nephrolithotripsy (PCNL) is the recommended procedure for patients with large and complex renal calculi. Visceral injuries are rare complications of this procedure. A distended gall bladder (GB) that abuts the right kidney is more prone to needle puncture-related injuries. A GB injury leading to peritonitis portends a poorer prognosis. We report a case of GB perforation that happened after an otherwise uneventful PCNL, which was managed with a prompt intraoperative decision of performing laparoscopic cholecystectomy. The initial puncture yielded a straw-colored, gelatinous aspirate, alerting the treating surgeon. After the completion of the PCNL, a diagnostic laparoscopy was performed. The GB was found to be injured and a bile leak was observed. Elective cholecystectomy was performed. Awareness of this potentially lethal complication and a high index of clinical suspicion is mandatory, as early diagnosis and prompt management can prevent mortality in such patients.
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