PCNL · Rescue · D14

Bleeding through the sheath

Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

PCNLRescue · Crisis

The scenario

  • PCNL, tract dilated to 30 Fr, sheath in.
  • Nephroscope introduced.
What you see
  • Brisk red blood fills the sheath.
  • The view is lost within seconds and does not clear with irrigation.
PCNL: the dilated tract and the working sheath in the collecting system
PCNL: the dilated tract and the working sheath in the collecting system
Open the animation

Teaching only · not for diagnosis or treatment decisions