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    Coexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review

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    Authors
    Rastogi, Neeraj
    Zawacki, Walter
    Alencar, Herlen
    UMass Chan Affiliations
    Department of Radiology
    Document Type
    Case Report
    Publication Date
    2013-07-04
    Keywords
    Caliceovenous fistula
    coil embolization
    intrarenal artriovenous fistula (AVF)
    percutaneous nephrolithotomy (PCNL)
    renal angiogram
    Male Urogenital Diseases
    Pathological Conditions, Signs and Symptoms
    Radiology
    Surgical Procedures, Operative
    Urology
    
    Metadata
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3831806/
    Abstract
    A 58-year-old man was re-admitted to the Urology service with delayed gross hematuria and unstable he-modynamics, following a percutaneous nephrolithotomy (PCNL) procedure performed for an obstructive solitary left lower calyceal stone. A selective left renal angiogram demonstrated an interpolar arteriovenous fistula (AVF), which was treated with successful coil embolization of a sub-segmental feeding branch. Sub-sequent nephrostogram confirmed a coexisting caliceovenous fistula, which was observed and healed spon-taneously. Iatrogenic coexisting intrarenal AVF and caliceovenous fistulae have never been reported and should be considered as a possible cause of delayed severe hematuria with unstable hemodynamics, and/or increase in baseline creatinine after PCNL.
    Source

    Rastogi N, Zawacki W, Alencar H. Coexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review. Interv Med Appl Sci. 2013 Jun;5(2):81-4. doi:10.1556/IMAS.5.2013.2.5. Link to article on publisher's site

    DOI
    10.1556/IMAS.5.2013.2.5
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30163
    PubMed ID
    24265895
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1556/IMAS.5.2013.2.5
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    UMass Chan Faculty and Researcher Publications
    Radiology Publications

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