A patients developed spastic paraparesis after surgery with ultrasound lithothripsy and litholapaxy of fragments of a renal calyceal calculus in middle-upper diverticulum. It was first assumed than the eventcould be due to transient spinal ischemia, caused by vasospasm of adamkievicz artery, secndary to blood engorgement of the area around the vassel. In order to clarify possible implications of medical liability, the Authors took into account the etio-pathogenetic mechanism of the complication and analyzed the medico-legal aspects, with particular reference to indication for surgery, which was not absolute in the case under scrutiny. In connection with the latter aspect, the Authors considered the conclusion of a recent sentence of the Court of Milan, whereby, despyte the negative opinion of the experts specifically appointed , a case of medical liability was identified as a consequence of algodystrophy resulting from a cardiosurgical intervention. According to the Court, it is for the medical staff to demostrate thet they did all they could to prevent the complication and that such complication did not arise from a mistake on their part.

Pellegrinelli, M., Castiglioni, C., Morini, O., Franzini, A. (2007). Spastic Paraparesis as a Complication of Percutaneus Nephrolithothripsy (PNL) on a Calyceal Calculus of the Left Kidney. ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA, 79(4), 147-150.

Spastic Paraparesis as a Complication of Percutaneus Nephrolithothripsy (PNL) on a Calyceal Calculus of the Left Kidney

PELLEGRINELLI, MOIRA;MORINI, OSVALDO;
2007

Abstract

A patients developed spastic paraparesis after surgery with ultrasound lithothripsy and litholapaxy of fragments of a renal calyceal calculus in middle-upper diverticulum. It was first assumed than the eventcould be due to transient spinal ischemia, caused by vasospasm of adamkievicz artery, secndary to blood engorgement of the area around the vassel. In order to clarify possible implications of medical liability, the Authors took into account the etio-pathogenetic mechanism of the complication and analyzed the medico-legal aspects, with particular reference to indication for surgery, which was not absolute in the case under scrutiny. In connection with the latter aspect, the Authors considered the conclusion of a recent sentence of the Court of Milan, whereby, despyte the negative opinion of the experts specifically appointed , a case of medical liability was identified as a consequence of algodystrophy resulting from a cardiosurgical intervention. According to the Court, it is for the medical staff to demostrate thet they did all they could to prevent the complication and that such complication did not arise from a mistake on their part.
Articolo in rivista - Articolo scientifico
calyceal diverticular calculi, percutaneous nephrolithotripsy, spastic paraparesis, medical liability
English
147
150
Pellegrinelli, M., Castiglioni, C., Morini, O., Franzini, A. (2007). Spastic Paraparesis as a Complication of Percutaneus Nephrolithothripsy (PNL) on a Calyceal Calculus of the Left Kidney. ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA, 79(4), 147-150.
Pellegrinelli, M; Castiglioni, C; Morini, O; Franzini, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/3374
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