Massive haemorrhage presenting as a complication after percutaneous nephrolithotomy (PCNL).
Authors describe and discuss cases of massive haemorrhage after percutaneous nephrolithotomy. In 10 (0.3%) of 3080 patients who underwent PCNL massive haemorrhage from renal fistula drain or urinary bladder was observed. Renal arteriography was performed in this group of patients which revealed arteriovenous fistulae in 4 patients and aneurysms of renal artery branches in 2. In 4 patients arteriography did not reveal haemorrhage. In one patient nephrectomy was necessary to stop the haemorrhage.
1st Department, Silesian Medical Academy, Katowice, Poland.
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D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D012189:Retrospective Studies