Renal artery stump to inferior vena cava fistula: unusual clinical presentation and transcatheter embolization with the Amplatzer vascular plug.
Fistulous communication between the renal artery stump and inferior vena cava following nephrectomy is rare. We describe the case of a 52-year-old man with a fistula detected on investigation for hemolytic anemia in the postoperative period. The patient had had a nephrectomy performed 2 weeks prior to presentation for blunt abdominal trauma. The fistula was successfully occluded percutaneously using an Amplatzer vascular plug. The patient recovered completely and was discharged 2 weeks later.
Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
Manish
M
Taneja
Narayan
N
Lath
Tan Bien
TB
Soo
Tay Kiang
TK
Hiong
Maung Myint
MM
Htoo
Lo
L
Richard
Alexander Chung Yaw
AC
Fui
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D012077:Renal Artery / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014682:Vena Cava, Inferior; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery
D003287:Contrast Media