Coexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review
UMass Chan Affiliations
Department of RadiologyDocument Type
Case ReportPublication Date
2013-07-04Keywords
Caliceovenous fistulacoil embolization
intrarenal artriovenous fistula (AVF)
percutaneous nephrolithotomy (PCNL)
renal angiogram
Male Urogenital Diseases
Pathological Conditions, Signs and Symptoms
Radiology
Surgical Procedures, Operative
Urology
Metadata
Show full item recordAbstract
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.5.2013.2.5Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30163PubMed ID
24265895Related Resources
ae974a485f413a2113503eed53cd6c53
10.1556/IMAS.5.2013.2.5