A novel endoscopic treatment for renal arteriopelvic fistula post-percutaneous nephrolithotomy (PCNL)
Int. braz. j. urol
; 40(4): 568-573, Jul-Aug/2014. graf
Article
ي En
| LILACS
| ID: lil-723971
المكتبة المسؤولة:
BR1.1
ABSTRACT
Main findings We describe the use of a novel endoscopic approach in the management of unremitting gross hematuria following post-percutaneous nephrolithotomy (PCNL) in a 65-years-old male. This approach proved successful and cost-effective in managing haemorrhage post-PCNL when renal angiography failed to localize the source of bleeding. Case hypothesis The recommended treatment modality for renal calculi ≥ 2cm is PCNL. It is essential that clinicians are aware of the various complications that can arise from PCNL, including arteriovenous fistula, which is typically managed with renal angio-embolization. The development of a renal arteriopelvic fistula (APF) is an extremely rare complication, and accounts of haemorrhage from renal APF and its treatment have not been well-described in the literature. We successfully hypothesized that the ureteroscopic localization, fulguration, and closure with a fibrin sealant at the site of the arterial bleed results in optimal treatment for this clinical presentation. We report this case in detail. Promising Future Implications The successful and cost-effective endoscopic approach described here for treatment of post-PCNL renal APF and unremitting gross hematuria ought to be considered as an adjunct to renal angiography and embolization when the source of bleeding cannot be accurately identified using traditional imaging modalities. .
Key words
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Postoperative Complications
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Renal Artery
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Nephrostomy, Percutaneous
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Arteriovenous Fistula
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Ureteroscopy
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Hematuria
نوع الدراسة:
Etiology_studies
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Prognostic_studies
المحددات:
Aged
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Humans
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Male
اللغة:
En
مجلة:
Int. braz. j. urol
موضوع المجلة:
UROLOGIA
السنة:
2014
نوع:
Article