title: Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy.
abstract: We report a case of a 43-year-old man who developed intractable hematuria after percutaneous nephrolithotomy. Angiography detected a pseudoaneurysm arising from the lower polar artery; however, embolization could not be performed because of unfavorable vascular anatomy. A percutaneous thrombin injection under ultrasound guidance initially controlled the bleeding, but hematuria subsequently recurred as a result of recanalization of the aneurysm. The case was successfully managed with ultrasound- and fluoroscopic-guided direct injection of cyanoacrylate glue into the pseudoaneurysm.
authors.affiliation: Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. dralal@rediffmail.com
authors.forename: Anupam
authors.initials: A
authors.lastname: Lal
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.forename: Mahesh
authors.initials: M
authors.lastname: Prakash
authors.forename: Manphool
authors.initials: M
authors.lastname: Singhal
authors.forename: Mayank Mohan
authors.initials: MM
authors.lastname: Agarwal
authors.forename: Debansu
authors.initials: D
authors.lastname: Sarkar
authors.forename: Niranjan
authors.initials: N
authors.lastname: Khandelwal
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D003487:Cyanoacrylates / Q000008:administration & dosage / Q000627:therapeutic use*; D005471:Fluoroscopy; D006417:Hematuria / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D007668:Kidney / Q000098:blood supply*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D018084:Ultrasonography, Interventional
chemical_list: D003487:Cyanoacrylates