Percutaneous Removal of a Broken Malecot Nephrostomy Tube

Abstract

We report a case of a broken re-entry Malecot nephrostomy tube inserted after an uneventful percutaneous nephrolithotomy (PCNL) procedure. The remained parts within the renal pelvis and around the kidney were removed using a percutaneous approach under general anesthesia using the PCNL access tract. Although this complication did not cause severe morbidity, it converted a successful uneventful PCNL procedure to a grade IIIB complicated one according to the modified Clavien classification system. This complication should be held in mind and a percutaneous approach should be considered before attempting an open surgery.

Keywords

• Broken percutaneous nephrostomy tube
• Re-entry Malecot
• Clavien IIIB
• Endoscopic intervention