SciELO - Scientific Electronic Library Online

vol.64 número5Rendimiento de la evaluación clínica en el diagnóstico de fractura de huesos propios nasalesHepatocarcinoma en hígado no cirrótico índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados


Revista chilena de cirugía

versión On-line ISSN 0718-4026


LOPEZ-FONTANA, Gastón; FONERON V, Alejandro  y  CASTILLO C, Octavio A. Percutaneous nephrolitotomy in bariatric surgery patients: Is there an increased risk of complications. Rev Chil Cir [online]. 2012, vol.64, n.5, pp. 468-471. ISSN 0718-4026.

Introduction: To report a patient with a history of bariatric surgery and staghorn calculi of the left kidney, who had a colonic perforation after percutaneous renal surgery. Material and Methods: A 38 years old male patient, with a history of gastric bypass, underwent a left percutaneous nephrolithotomy due to staghorn renal calculi. In the procedure, the colon was incidentally perforated during the percutaneous access. Results: The patient developed a sepsis and fecal material appeared surrounding the nephrostomy tube. A transverse colostomy was performed, with improvement of the sepsis and a spontaneous resolution of the nephro-colonic fistula. Conclusion: Is known that bariatric surgery is associated with the novo urinary lithiasis. Besides, there are anatomical changes in between intraabdominal viscera. Radiological studies and a adequate surgical strategy are fundamental to avoid severe surgical complications in kidney stone disease.

Palabras clave : Obesity; gastric bypass; nephrolitiasis; percutaneous nephrolitotomy; complications.

        · resumen en Español     · texto en Español     · pdf en Español