Coexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review
Department of Radiology
Male Urogenital Diseases | Pathological Conditions, Signs and Symptoms | Radiology | Urology
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.
Caliceovenous fistula, coil embolization, intrarenal artriovenous fistula (AVF), percutaneous nephrolithotomy (PCNL), renal angiogram
DOI of Published Version
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
Interventional medicine and applied science
Rastogi, Neeraj; Zawacki, Walter; and Alencar, Herlen, "Coexisting intrarenal arteriovenous and caliceovenous fistulae after percutaneous nephrolithotomy: Case report and literature review" (2013). University of Massachusetts Medical School Faculty Publications. 405.