Unilateral diaphragmatic paresis following supracostal post-percutaneous nephrolithotomy.
J Postgrad Med
; 68(3): 176-178, 2022.
Article
en En
| MEDLINE
| ID: mdl-34708699
ABSTRACT
Unilateral acquired diaphragmatic paresis is a known complication of thoracic surgeries. Direct mechanical injury to the phrenic nerve during surgery results in this complication. However its occurrence post-percutaneous nephrolithotomy (PCNL) has not been described. We report a 43-year-old man who underwent prone PCNL for endourological management of left complete staghorn calculus. Access via the 10th left intercostal space, under fluoroscopy, was carried out to remove the calculus. Post-operative, the routine chest radiograph revealed left hemidiaphragmatic blunting. Computerized tomography of the chest confirmed left hemidiaphragmatic elevation, suggesting unilateral diaphragmatic paresis. He did not have any respiratory symptoms, was managed conservatively with chest physiotherapy and incentive spirometry and responded extremely well. The absence of reported cases of diaphragmatic paresis post PCNL lends to a dearth in knowledge regarding recognition and management. This case report aims to acquaint urologists with this rare complication associated with supracostal PCNL and provide a rational management plan.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Nefrostomía Percutánea
/
Cálculos Renales
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Enfermedades del Sistema Digestivo
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Nefrolitotomía Percutánea
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
J Postgrad Med
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos