Urosepsis Complicated by Septic Shock After Endoscopic Combined Intrarenal Surgery for a Staghorn Calculus: A Case Report
DOI:
https://doi.org/10.66166/cjaim.2.1.7Keywords:
ECIRS; urosepsis; septic shock; staghorn calculusAbstract
Endoscopic combined intrarenal surgery (ECIRS) is used for complex renal stones because it combines retrograde and percutaneous access and may allow complete stone clearance in a single session. Infectious complications are recognised after stone surgery. Rapid progression to septic shock, however, is not expected after an apparently uncomplicated procedure, and patients are usually managed postoperatively on the ward. We present a 51-year-old woman with a right-sided staghorn calculus and multiple documented antibiotic allergies who developed urosepsis complicated by septic shock after ECIRS. The procedure was technically successful, but septic shock developed approximately 10 hours postoperatively, requiring intensive care unit admission. Treatment included fluid resuscitation, noradrenaline, oxygen therapy, and antimicrobial therapy guided by previous susceptibility results and the allergy profile. This case supports better preoperative identification of patients at risk and early recognition of postoperative deterioration after ECIRS.
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Copyright (c) 2026 Dr. Iverka Brigljević Kniewald , Dr. Marina Nakić Pranjić , Dr. Katarina Lojna , Dr. Sandra Nenadić Šprajc , Dr. Ante Erceg , Eleonora Goluza (Author)
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