Systemic Inflammatory Response Syndrome after Massive Extravasation into the Pleural Space of Contrast Medium during Supracostal Percutaneous Nephrolithotomy
- *Corresponding Author:
- Humberto S Machado
Department of Anestesiologia Centro Hospitalar do Porto
Largo Prof. Abel Salazar, 4099-001 Porto, Portugal
E-mail: [email protected]
Received date: January 16, 2015; Accepted date: February 11, 2015; Published date: February 16, 2015
Citation: Fernandes DS, Reis D, Martins MF, Cavadas V, Machado HS (2015) Systemic Inflammatory Response Syndrome after Massive Extravasation into the Pleural Space of Contrast Medium during Supracostal Percutaneous Nephrolithotomy. J Anesth Clin Res 6:502. doi: 10.4172/2155-6148.1000502
Copyright: © 2015 Fernandes DS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Percutaneous nephrolithotomy is indicated for renal stones larger than 2 cm and upper ureteral stones not amenable to retrograde management. Supracostal access may enable better access to the entire collecting system and even be preferential in some cases, although having a higher risk of pleural or lung injury, resulting in hydrothorax or pneumothorax. We report a case of a patient who developed a massive hydrothorax during surgery. In this particular case the hydrothorax was mainly composed of iodixanol (visipaque®) isosmolar nonionic contrast media. We assume that this was the reason why a subsequent systemic inflammatory response syndrome (SIRS) was observed. There is no reference in the literature to a prolonged SIRS associated to a hydrothorax mainly composed of nonionic contrast media following a supracostal percutaneous nephrolitotomy.