Acute obstructive renal failure after laparoscopic cryoablation of multiple renal tumors in a solitary kidney.
A 67-year-old man with a solitary left kidney and baseline serum creatinine of 3.3 ng/mL (normal range 0.7 to 1.4) underwent laparoscopic cryoablation of two enhancing, solid renal tumors. Postoperatively, the case was complicated by a large blood clot in the renal collecting system causing obstruction and anuria. This complication of cryotherapy, never before reported to our knowledge, was treated successfully with a temporary ureteral stent. Follow-up magnetic resonance imaging at 3 months did not demonstrate any new lesions or enhancement of the treated renal masses. His serum creatinine at 3 months was 3.7 ng/mL.
Lane
Brian R
BR
Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Moinzadeh
Alireza
A
Kaouk
Jihad H
JH
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D003452:Cryosurgery / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D014517:Ureteral Obstruction / Q000209:etiology*