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Croatian Journal of Anaesthesiology and Intensive medicine, Vol. 2 No. 1, 2026.

Studija slučaja

Urosepsis Complicated by Septic Shock After Endoscopic Combined Intrarenal Surgery for a Staghorn Calculus: A Case Report

Iverka Brigljević Kniewald ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia
Marina Nakić Pranjić ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia
Katarina Lojna ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia
Sandra Nenadić Šprajc ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia
Ante Erceg ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia
Eleonora Goluža orcid id orcid.org/0000-0001-6220-8614 ; Department of Anesthesiology and ICU, University Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia *

* Dopisni autor.

Puni tekst: engleski pdf 398 Kb

str. 54-59

preuzimanja: 0

citiraj

Sažetak

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 based on the patient's microbiological history and allergy profile.
> This case supports better preoperative identification of patients at risk and early recognition of postoperative deterioration after ECIRS.

Ključne riječi

ECIRS; urosepsis; septic shock; staghorn calculus

Hrčak ID:

348900

URI

https://hrcak.srce.hr/348900

Datum izdavanja:

6.7.2026.

Posjeta: 0 *