Indian Journal of Urology Users online:2802  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
COMMENTS
Year : 2006  |  Volume : 22  |  Issue : 1  |  Page : 78
 

Comments on Fulminant biliary peritonitis.........................


Consultant. Urologist, Freeman Hospital, Newcastle upon Tyne, United Kingdom

Correspondence Address:
Peter Ramsden
Consultant. Urologist, Freeman Hospital, Newcastle upon Tyne
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

 

How to cite this article:
Ramsden P. Comments on Fulminant biliary peritonitis......................... Indian J Urol 2006;22:78

How to cite this URL:
Ramsden P. Comments on Fulminant biliary peritonitis......................... Indian J Urol [serial online] 2006 [cited 2020 Feb 23];22:78. Available from: http://www.indianjurol.com/text.asp?2006/22/1/78/24667


Puncture of the Biliary tract at percutaneous nephrostomy is clearly a potentially serious complication, although not frequently documented. The authors of this case report have courageously reported a fatal outcome. My comments are.

1. It is not correct to say this was an uneventful PCNL.

2. Bile gushing from the needle puncture could be due to high pressure in the gall bladder. Was there in background gall bladder disease.?

3. The decision to remove the nephrostomy in the early post-operative period in the presence of an obvious fever is open to question.

4. The final conclusion of the authors to carry out immediate cholecystectomy and then completing PCNL is certainly contentious and should be discussed. Alternative management plans could be :

a. Simply leave a pigtail catheter to the gall bladder and discontinue the procedure.

b. After consultation proceed to immediate laparoscopic cholecystectomy, with deferment of the PCNL.

5. This complication could occur at PCNL and not be detected at the time and the case highlights the need to be aware of this potential complication in any patient that does not progress smoothly post operation.




 

Top
Print this article  Email this article
Previous article Next article

    

 
   Search
 
   Next article
   Previous article 
   Table of Contents
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (80 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  



 Article Access Statistics
    Viewed2539    
    Printed77    
    Emailed0    
    PDF Downloaded89    
    Comments [Add]    

Recommend this journal

HEALTHWARE INDIA