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A fatal complication during percutaneous nephrolithotomy: a renal artery rupture
Yu Jihion,Song Aejin,Kim Hee Yeong 조선대학교 의학연구원 2022 Medical Bilogical Science and Engineering Vol.5 No.2
Percutaneous nephrolithotomy is minimally invasive technique for renal stone removal. It is a safe and efficient procedure for large, multiple, and complex stone, especially staghorn calculi or smaller symptomatic stones. Although percutaneous nephrolithotomy is associated with low morbidity and short hospital stay, severe complications such as extravasation of fluid and urine, the need for blood transfusion, and septicemia may occur after percutaneous nephrolithotomy. Herein, we report a fatal case following percutaneous nephrolithotomy, in which the angioembolization was performed after cardiopulmonary resuscitation due to unexpected rupture of a renal artery which was detected after transferring to the general ward.
최성수,Jihion Yu,김영국,황규삼 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.6
Adrenal insufficiency, which is related to hemodynamic instability and increased mortality, has been reported in patients with advanced liver disease regardless of the presence of septic conditions. In this regard, the hepatoadrenal syndrome has been recently proposed as adrenal insufficiency in critically ill patients with liver disease. We describe here a 67-year-old female patient with hepatic failure and adrenal insufficiency. The patient showed stable vital signs and no evidence of sepsis preoperatively. Despite hydrocortisone replacement and inotropics administration, severe intraoperative hemodynamic instability was observed. Hydrocortisone administration was continued postoperatively, nevertheless inotropics could not be tapered. On postoperative day 11, the patient died due to pneumonia and septic shock. Hepatoadrenal syndrome may have played a key role in her severe hemodynamic fluctuation and poor outcome, reinforcing the importance of adrenal function in the liver transplantation surgery.
Young Kug Kim,Hyungseok Seo,Jihion Yu,Gyu Sam Hwang 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.5
Intracranial pressure (ICP) monitoring is an important issue for liver transplant recipients, since increased ICP is associated with advanced hepatic encephalopathy or graft reperfusion during liver transplantation. Invasive monitoring of ICP is known as a gold standard method, but it can provoke bleeding and infection; thus, its use is a controversial issue. Studies have shown that optic nerve sheath diameter > 5 mm by ocular ultrasonography is useful for evaluating ICP > 20 mmHg noninvasively in many clinical settings. In this case report, we present experiences of using ocular ultrasound as a diagnostic tool that could detect changes in ICP noninvasively during liver transplantation.
Kyungmi Kim,Jun-Young Park,Jihion Yu,전진영,Sukyung Chung,Jai-Hyun Hwang,Young-Kug Kim 조선대학교 의학연구원 2020 Medical Bilogical Science and Engineering Vol.1 No.1
A 60-year-old man with a 12 cm mass involving the right kidney and a renal vein tumor thrombus extending to the intrahepatic inferior vena cava (IVC), was scheduled for a radical nephrectomy concomitant with an IVC thrombectomy. During the operation, through intraoperative transesophageal echocardiography (TEE) monitoring, a migrating tumor thrombus was promptly detected. After the operation, a filling defect in the posterior basal segmental or subsegmental pulmonary arteries of the lower lobe of the right lung was observed on chest computed tomography. Intraoperative TEE provides additional information to help guide the surgical intervention and medical treatment.
Gi-Ho Koh,Doo-Hwan Kim,Jihion Yu,Seungsoo Ha,Sang-A Lee,Jai-Hyun Hwang,Young-Kug Kim,Jun-Young Park 조선대학교 의학연구원 2019 Medical Bilogical Science and Engineering Vol.2 No.2
Percutaneous nephrolithotomy (PNL) is a relatively safe and effective procedure for the management of nephrolithiasis but is associated with severe complications. We report the case of a 76-year-old woman who underwent PNL for renal calculi removal. Preoperative urinalysis detected a large number of white blood cells and, on culture, Escherichia coli was detected. After an uneventful recovery from general anesthesia, she developed tachycardia, high fever, severe shivering, and hypotension in the post-anesthesia care unit. She was diagnosed with urosepsis associated with PNL and was transferred to the intensive care unit. Urosepsis and refractory hypotension persisted despite meticulous fluid management and vasopressor and inotropic agent administration. On postoperative day 5, she was hemodynamically stable and was transferred to a general ward. On postoperative day 12, she was discharged without any complications. Urosepsis after PNL can be catastrophic; therefore, early detection and optimal treatment are necessary to improve the postoperative outcome.
Kyungmi Kim,Jun-Young Park,Jihion Yu,Jin Young Chon,Sukyung Chung,Jai-Hyun Hwang,Young-Kug Kim 조선대학교 의학연구원 2020 Medical Bilogical Science and Engineering Vol.3 No.1
A 60-year-old man with a 12 cm mass involving the right kidney and a renal vein tumor thrombus extending to the intrahepatic inferior vena cava (IVC), was scheduled for a radical nephrectomy concomitant with an IVC thrombectomy. During the operation, through intraoperative transesophageal echocardiography (TEE) monitoring, a migrating tumor thrombus was promptly detected. After the operation, a filling defect in the posterior basal segmental or subsegmental pulmonary arteries of the lower lobe of the right lung was observed on chest computed tomography. Intraoperative TEE provides additional information to help guide the surgical intervention and medical treatment.