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Ureteric Stone Containing Gas: First Case Report with Review of Cases of Urolithiasis with Gas within the Stone and Its Clinical Implications

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Open Journal of Urology 2022年第4期12卷 203-208页

作者： rohan valsangkar Sameer Jog Jaydeep Date Subodh Shivde Deenanath Mangeshkar Hospital and Research Center Pune India

We report the first case of a ureteric stone containing gas. This rare stone with gas within it was found during the management of a diabetic patient with urosepsis as the initial presentation. Literature review of cases of renal stone containing gas, mechanisms of gas within the stone, and clinical implications of stone containing gas are discussed. Also, a new terminology is proposed to describe this phenomenon.

关键词： Urolithiasis Containing Gas Pyelonephritis Pneumourolithiasis

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Do Changes Occur in Hemodynamic Parameters, Hemogram, Renal Function and Serum Electrolytes during Percutaneous Nephrolithotomy? Its Correlation with Irrigation Fluid and Intravenous Fluid

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Open Journal of Urology 2022年第1期12卷 57-68页

作者： Chetan R. Kulkarni Subodh R. Shivde Jaydeep A. Date rohan S. valsangkar Department of Urology and Transplant Services Deenanath Mangeshkar Hospital and Research Centre Pune Maharashtra India

Introduction: Percutaneous nephrolithotomy (PCNL) is a standard minimally invasive urological procedure for the treatment of large renal calculi. It is also associated with complications arising from absorption of irrigation fluid and intravenous fluid injection. We evaluated the changes occurring in vital and blood parameters during PCNL using 0.9% normal saline (NS) as an irrigation fluid. Materials and Methods: We prospectively studied 71 patients who underwent PCNL in our hospital between 2016 and 2018. NS (0.9%) was used as irrigation fluid in all patients. Changes in hemodynamics, hemogram, renal function tests and serum electrolytes were noted and assessed for significance using paired t-test. These changes were correlated with ASA grade, BMI, total operating time, total irrigation fluid used and total intravenous fluid used using Pearson’s correlation test. Results: A significant fall in serum creatinine was present (1.30 ± 0.96 vs. 1.24 ± 0.93) along with a rise in eGFR (85.39 ± 24.10 vs. 90.18 ± 22.58). A significant rise in serum potassium (4.34 ± 0.45 vs. 4.5 ± 0.56) and chloride levels (104.79 ± 3.51 vs. 106.69 ± 3.14) post-operatively was noted. A significant rise in pulse rate (80.84 ± 10.13 vs. 87.76 ± 13.12) and systolic blood pressure (127.67 ± 15.90 vs. 136.88 ± 19.56) post-operatively was noted. There was no significant change noted in hemoglobin, PCV, platelets and serum sodium levels. Total operating time and irrigation fluid volume showed a positive correlation with changes in eGFR, serum chloride, post-operative pulse rate and blood pressure values. Intravenous fluids volume correlated positively with changes in serum potassium, chloride, post-operative pulse rate and blood pressure values. Conclusion: High amount of irrigation fluid absorption can cause early post-operative changes in patients’ hemodynamics and blood indices. Overzealous hydration during PCNL with potassium

关键词： Percutaneous Nephrolithotomy Hemodynamic Parameters Hemogram Renal Function and Serum Electrolytes

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