Management of a nephrostomy tube misplacement into the inferior vena cava following PCNL.

Zhuoran Gu, Tantu Ma, Wentao Zhang, Lei Jiang, Xudong Yao, Yifan Chen

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Zhuoran GuDepartment of Urology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.

Tantu MaDepartment of Urology, Bengbu First People's Hospital, Anhui, China.

Wentao ZhangDepartment of Urology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.

Lei JiangDepartment of Urology, Bengbu First People's Hospital, Anhui, China.

Xudong YaoDepartment of Urology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.

Yifan ChenDepartment of Urology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 50-year-old female with left flank pain and 3.1 cm renal calculi underwent PCNL. Intraoperatively, an anatomical variant led to accidental insertion of a nephrostomy tube into the inferior vena cava (IVC), while a second tube was correctly placed. Postoperative edema prompted CT imaging revealing the malposition. The misplaced tube was incrementally withdrawn under CT guidance over days to prevent bleeding complications, then repositioned successfully. Three-month follow-up confirmed resolution of hydronephrosis, absence of strictures or bleeding, and complete wound healing. This case underscores the necessity of intraoperative anatomical vigilance and staged management of iatrogenic vascular injuries during PCNL.

Indexed as

HydronephrosisNephrostomy tubePercutaneous nephrolithotomyVascular injury

Identifiers

PMID40290841

DOI10.1016/j.eucr.2025.103044

PMCPMC12032861

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