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Metachronous renal vein and artery injure after percutaneous nephrostolithotomy
- Source :
- BMC Urology
- Publication Year :
- 2013
- Publisher :
- Springer Science and Business Media LLC, 2013.
-
Abstract
- Background Percutaneous nephrostolithotomy is important approach for kidney stones removal. A percutaneous nephrostomy drainage tube placement is an effective method to stop venous bleeding. Occasionally, the catheter can pierce into the renal parenchyma, and migrate into the renal vein even to the vena cava. Case presentation A 66-year-old woman underwent a percutaneous nephrostolithotomy for kidney staghorn stone complicating severe bleeding. A computed tomography angiography showed the percutaneous nephrostomy drainage tube inside the renal vein. The percutaneous nephrostomy drainage tube was withdrawn 3 cm back to the renal parenchyma/sinus/pelvis in stages with the surgical team on standby. Seven days later, the patient developed severe hematuria. Computed tomography angiography demonstrated the pseudoaneurysm located near the percutaneous nephrostomy drainage tube. Pseudoaneurysm is embolized successfully. Conclusion Our case shows intravenous misplacement of the nephrostomy tube and subsequent pseudoaneurysm after percutaneous nephrostolithotomy. To our knowledge, this seems to be the first documentation of major bleeding from the injury to both renal vein and artery. The percutaneous nephrostomy drainage tube can be withdrawn back to the renal parenchyma/sinus/pelvis in stages with the surgical team on standby, and the withdrawn distance may vary according to patient and catheter position.
- Subjects :
- medicine.medical_specialty
Urology
medicine.medical_treatment
Case Report
Renal Veins
Pseudoaneurysm
Renal Artery
medicine.artery
medicine
Humans
Renal artery
Aged
Nephrostomy, Percutaneous
Computed tomography angiography
Surgical team
medicine.diagnostic_test
business.industry
Percutaneous nephrostolithotomy
General Medicine
medicine.disease
Surgery
Radiography
Catheter
Treatment Outcome
Reproductive Medicine
Percutaneous nephrostomy
cardiovascular system
Female
Kidney stones
Radiology
Renal vein
business
Misplacement
Aneurysm, False
Subjects
Details
- ISSN :
- 14712490
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- BMC Urology
- Accession number :
- edsair.doi.dedup.....9d97f7c3f035ad77ea473d3e6950275b