Anesthesia & Clinical Research
Open Access

Humberto S Machado

Publications

• Case Report
  Systemic Inflammatory Response Syndrome after Massive Extravasation into the Pleural Space of Contrast Medium during Supracostal Percutaneous Nephrolithotomy
  Author(s): Diogo Sobreira Fernandes, Daniel Reis, Maria Fátima Martins, Vitor Cavadas and Humberto S Machado Diogo Sobreira Fernandes, Daniel Reis, Maria Fátima Martins, Vitor Cavadas and Humberto S Machado
  
  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. .. View More»
  DOI: 10.4172/2155-6148.1000502

  Abstract PDF

Relevant Topics