[Calyceal fistula in a renal allograft treated with N-Butyl-2-cyanoacrylate]. / Fístula calicilar en injerto renal tratada con N-butyl-2-cyanoacrylate.
Actas Urol Esp
; 27(7): 543-5, 2003.
Article
in Es
| MEDLINE
| ID: mdl-12938585
ABSTRACT
BACKGROUND:
Calyceal fistulas are common and difficult to treat after surgery of urinary collecting system.METHODS:
A 30-year old woman. The fifth day after receiving a cadaver donor renal allograft presented an acute rejection episode; fourteen days later presented an urinoma treated with a percutaneous drainage tube. Five days later surgical exploration was made, lower pole infarction and ischemic necrosis of distal ureter were found. Parcial nephrectomy and neo-ureterovesical anastomosis were performed. Later, an inferior calyceal fistula was evidenced, persisting during several weeks in spite of a percutaneous drainage tube. Under fluoroscopic guidance the fistulous tract was embolized with N-butyl-2-cyanoacrylate.RESULTS:
The fluoroscopic control confirmed the total closure of the fistula. After 22 months no reappearance of the fistula, no stenosis has been shown at this level.CONCLUSIONS:
This is a useful technique for the treatment of calyceal fistulas. This is the first time that N-butyl-2-cyanoacrylate is use in the treatment of a calyceal fistula.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Kidney Transplantation
/
Urinary Fistula
/
Enbucrilate
/
Kidney Calices
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Guideline
Limits:
Adult
/
Female
/
Humans
Language:
Es
Journal:
Actas Urol Esp
Year:
2003
Document type:
Article