PCNL · Rescue · D19

Contrast where it should not be

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

PCNLRescue · Advanced

The scenario

  • PCNL, a large pelvic stone fragmented with the lithoclast.
  • Two hours in.
What you see
  • On the check fluoroscopy, contrast tracks outside the pelvic outline and along the medial border of the kidney.
Plate from the linked animation. Schematic to come: a pelvic perforation with extravasation around the kidney
Schematic to come: a pelvic perforation with extravasation around the kidneySchematic pending
Open the animation

Teaching only · not for diagnosis or treatment decisions