Arteriocaliceal fistula from prolonged nephrostomy tube drainage.
We report a case of an arteriocaliceal fistula that occurred after 21 months of continuous nephrostomy drainage. Hemorrhage was successfully controlled with selective angiography and embolization. Although unusual, arterial injury should be considered when patients with indwelling nephrostomy tubes present with new onset of bleeding.
Kaufman
J A
JA
Department of Radiology, Massachusetts General Hospital, Boston.
Edelstein
R A
RA
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004322:Drainage / Q000295:instrumentation*; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007670:Kidney Calices / Q000000981:diagnostic imaging / Q000293:injuries*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D013997:Time Factors; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology