University of Massachusetts Medical School Faculty Publications

Title

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

UMMS Affiliation

Department of Radiology

Publication Date

7-4-2013

Document Type

Article

Disciplines

Male Urogenital Diseases | Pathological Conditions, Signs and Symptoms | Radiology | Urology

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.

Keywords

Caliceovenous fistula, coil embolization, intrarenal artriovenous fistula (AVF), percutaneous nephrolithotomy (PCNL), renal angiogram

Rights and Permissions

Citation: 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

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Interventional medicine and applied science

PubMed ID

24265895