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Case Reports in Urology
Volume 2017, Article ID 7430328, 3 pages
https://doi.org/10.1155/2017/7430328
Case Report

Nontraumatic Acute Elevation of Pancreatic Enzymes following Percutaneous Nephrolithotomy: A Rare Complication

Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athanasaki 1, 115 26 Athens, Greece

Correspondence should be addressed to Antonios Katsimantas; moc.liamg@satnamistaksoinotna

Received 30 April 2017; Revised 8 July 2017; Accepted 30 October 2017; Published 15 November 2017

Academic Editor: Tun-Chieh Chen

Copyright © 2017 Nikolaos Ferakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Herein, we report the case of a 48-year-old female who developed nontraumatic acute pancreatitis following left supracostal Percutaneous Nephrolithotomy. Three hours postoperatively, the patient developed fever with signs and symptoms consistent with hydrothorax, which was confirmed radiologically and was managed conservatively. The following days, the patient developed manifestations of Systemic Inflammatory Response Syndrome with epigastric pain, nausea, and vomiting. Blood, urine, and sputum cultures were negative. Serum amylase and lipase levels were elevated 3 and 13 times above the normal level, respectively. Imaging studies revealed no pathologic findings from pancreas. These findings were consistent with the diagnosis of acute pancreatitis.