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Percutaneous nephrolithotomy in patients with bleeding disorders: Case report

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dc.creatorEscobar Monroy, Rebecaspa
dc.creatorCamacho Nieto, Diegospa
dc.creatorCabrera Fierro, Marinospa
dc.date.accessioned2020-05-26T00:02:00Z
dc.date.available2020-05-26T00:02:00Z
dc.date.created2019spa
dc.description.abstractObjective To report a case of percutaneous nephrolithotomy in patients with protein C and S deficiency. Introduction Patients with protein C and S deficiency have a high risk of thromboembolic events reporting rates of 6% and 8.4%, respectively. Case Report A 43-year-old female patient with a history of protein C and S deficiency with chronic warfarin anticoagulation for deep venous thrombosis (DVT). CT scan with full right staghorn calculi. Enoxaparin was administered bridge therapy. She was taken to right percutaneous nephrolithotomy, access was through the lower calyx. Because it was not possible to access the calculus of the middle and upper calyx it was necessary to perform a second puncture in the upper calyx, leaving the patient free of calculus. Full anticoagulation was resumed at 12 hours postoperatively without associated bleeding. Discussion Patients with protein C and S deficits are at high risk for thromboembolic events. Kefer et al. conducted a study evaluating the efficacy of bridge therapy in patients on NLP, finding that warfarin anticoagulation can be discontinued 5 days earlier and restarted 5 days after the surgical procedure without the need for enoxaparin bridging therapy. Results The protein C and S deficiency corresponds to an entity, with a very low prevalence and conditions the requirement of oral anticoagulants indefinitely. It was possible to perform a surgical procedure without hemorrhagic or thromboembolic complications. Copyright © 2019, Sociedad Colombiana de Urología.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1055/s-0038-1645850
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23436
dc.language.isoengspa
dc.publisherThieme Medical Publishers, Inc.spa
dc.relation.citationEndPage46
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage43
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 28
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.28, No.1 (2019); pp. 43-46spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85069773047&doi=10.1055%2fs-0038-1645850&partnerID=40&md5=98e4d7d5a5fcecbcd0da93da6749203aspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordEnoxaparinspa
dc.subject.keywordWarfarinspa
dc.subject.keywordAdultspa
dc.subject.keywordAnticoagulant therapyspa
dc.subject.keywordArticlespa
dc.subject.keywordCase reportspa
dc.subject.keywordClinical articlespa
dc.subject.keywordDeep vein thrombosisspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordKidney calyxspa
dc.subject.keywordMedical historyspa
dc.subject.keywordPercutaneous nephrolithotomyspa
dc.subject.keywordProtein c deficiencyspa
dc.subject.keywordProtein s deficiencyspa
dc.subject.keywordStaghorn stonespa
dc.subject.keywordThromboembolismspa
dc.subject.keywordX-ray computed tomographyspa
dc.subject.keywordAnticoagulantspa
dc.subject.keywordPercutaneous nephrolithotomyspa
dc.subject.keywordProtein cspa
dc.subject.keywordProtein sspa
dc.titlePercutaneous nephrolithotomy in patients with bleeding disorders: Case reportspa
dc.title.TranslatedTitleNefrolitotomía percutánea en pacientes con trastornos de la coagulación: reporte de casospa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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