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KMID : 0359920070260030368
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Korean Journal of Nephrology
2007 Volume.26 No. 3 p.368 ~ p.372
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Acute Pancreatitis and Septic Shock Complicated after Ureteroscopic Stone Removal in a Patient with Ureter Stones
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Park Sang-Mi
Han Chang-Hee
Won Yoo-Dong
Jeong Hee-Sun
Kim Sang-Hee
Lee Yune-Jeong
Kim Young-Soo
Yoon Sun-Ae
Kim Young-Ok
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Abstract
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Being relatively safe, Ureteroscopy is one of the techniques most widely used for upper urinary tract diseases. Two cases of acute pancreatitis following percutaneous nephrolithotomy have been reported, but in neither case was there any complications after ureteroscopic procedure in patients with percutaneous nephrostomy. A 49-year-old male was presented with sudden onset of fever and decreased mental activity just after ureteroscopic stone removal. He had received nephrolithotomy for staghorn calculus six months before and received percutaneous nephrostomy 2 months before. Urine and blood cultures showed Citrobacter freundii and serum amylase and lipase increased to 6,067 IU/L, 1,270 IU/L, respectively. Abdominal CT scan demonstrated perinephric inflammatory fluid collection and its direct extension to the tail portion of pancreas. With medical treatment including adequate antibiotics, urosepsis and acute pancreatitis was completely cured.
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KEYWORD
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Pancreatitis, Ureteroscopy, Kidney calculi, Percutaneous nephrostomy
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