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CASE REPORT
Year : 2015  |  Volume : 31  |  Issue : 3  |  Page : 249-250

Biliary peritonitis due to gall bladder perforation after percutaneous nephrolithotomy


Department of Urology, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India

Correspondence Address:
Dr. Nikhil Ranjan
Department of Urology, Old Mdh q 3/5, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.156920

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A 19-year-old male patient underwent right percutaneous nephrolithotomy (PNL) for right renal 1.5 × 1.5 cm lower pole stone. The procedure was completed uneventfully with complete stone clearance. The patient developed peritonitis and shock 48 h after the procedure. Exploratory laparotomy revealed a large amount of bile in the abdomen along with three small perforations in the gall bladder (GB) and one perforation in the caudate lobe of the liver. Retrograde cholecystectomy was performed but the patient did not recover and expired post-operatively. This case exemplifies the high mortality of GB perforation after PNL and the lack of early clinical signs.


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