Korean J Anesthesiol.  2007 Aug;53(2):270-273. 10.4097/kjae.2007.53.2.270.

Acute Pulmonary Edema after Simultaneous Bilateral Percutaneous Nephrolithotomy: A case report

• Kwak KH
• Kim JA

• KMID: 2243391
• DOI: http://doi.org/10.4097/kjae.2007.53.2.270

Abstract

Percutaneous nephrolithotomy (PCNL) is currently the procedure of choice for the removal of large and complex renal calculi. With recent developments in percutaneous access technique and in equipment for the disintegration of calculi, simultaneous bilateral PCNL has become safe. However the complications include hemorrhage, extravasation and absorption of large volumes of irrigation fluid, fever, infection, colonic perforation and pneumothorax. A 46-year-old, 59 kg, female patient in our care developed acute pulmonary edema after simultaneous bilateral PCNL under general anesthesia. The preoperative chest X-ray was normal. The patient recovered following 36 hours of intensive treatment involving fluid restriction, diuretics, sedation and continuous airway pressure ventilation.

Keyword

bilateral percutaneous nephrolithotomy; pulmonary edema

MeSH Terms

Absorption
Anesthesia, General
Calculi
Colon
Diuretics
Female
Fever
Hemorrhage
Humans
Kidney Calculi
Middle Aged
Nephrostomy, Percutaneous*
Pneumothorax
Pulmonary Edema*
Thorax
Ventilation
Diuretics