Kidney Infarction After Surgery in a Spinal Cord Injury Patient
Author Information
Author(s): Vaidyanathan Subramanian, Hughes Peter L, Singh Gurpreet, Soni Bakul M
Primary Institution: Regional Spinal Injuries Centre, District General Hospital, Southport, UK
Hypothesis
Compression of renal parenchyma during surgery may lead to ischaemia and infarction.
Conclusion
Gentle handling of the kidney during surgery is crucial to prevent renal trauma that may only be detected by advanced imaging.
Supporting Evidence
- The patient developed a large stag horn calculus in the left kidney.
- Post-operative imaging revealed focal infarction in the kidney.
- Compression during surgery was identified as a potential cause of ischaemia.
Takeaway
If doctors are too rough when operating on the kidney, it can get hurt and stop working properly, which is something we need to be careful about.
Methodology
The patient underwent Gil-Vernet extended pyelolithotomy and required intra-operative electrohydraulic lithotripsy and retrieval of stones using flexible cystoscope and stone basket.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
46-year-old male with C-4 complete tetraplegia.
Digital Object Identifier (DOI)
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