Massive haemothorax from percutaneous nephrolithotomy requiring video-assisted thoracoscopic surgery: A case report
Issued Date
2023-05-01
Resource Type
ISSN
22102612
Scopus ID
2-s2.0-85152895402
Journal Title
International Journal of Surgery Case Reports
Volume
106
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Surgery Case Reports Vol.106 (2023)
Suggested Citation
Ekkasak S., Cherntanomwong P., Phengsalae Y., Ketsuwan C. Massive haemothorax from percutaneous nephrolithotomy requiring video-assisted thoracoscopic surgery: A case report. International Journal of Surgery Case Reports Vol.106 (2023). doi:10.1016/j.ijscr.2023.108251 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/81522
Title
Massive haemothorax from percutaneous nephrolithotomy requiring video-assisted thoracoscopic surgery: A case report
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Introduction: Massive haemothorax can occur following percutaneous nephrolithotomy (PCNL), which is a significant adverse event and a life-threatening condition. Presentation of case: A 65-year-old male who presented with a full right staghorn stone was treated with PCNL. Two days later, he developed massive haemothorax and conservative management with intercostal drainage failed. The patient successfully underwent video-assisted thoracoscopic surgical decortication (VATSD). Discussion: PCNL is the mainstay procedure for complex renal stones. Because it is aggressive, it can also have serious complications. Tube thoracostomy drainage is the initial approach for managing haemothorax. However, retained haemothorax still occurs and can cause additional complications. VATSD is frequently applied in the modern era because of its good visualization and reduced morbidity compared with conventional thoracotomy. Conclusion: VATSD is a safe and effective surgical technique that can be easily applied to manage retained haemothorax as a result of PCNL.