Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy.
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.
Lal
Anupam
A
Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. dralal@rediffmail.com
Kumar
Ajay
A
Prakash
Mahesh
M
Singhal
Manphool
M
Agarwal
Mayank Mohan
MM
Sarkar
Debansu
D
Khandelwal
Niranjan
N
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
D003487:Cyanoacrylates