Endovascular coil embolization in a postnephrostomy renal vein to renal pelvis fistula.
We report the case of a 74-year-old man with post-percutaneous-nephrostomy venous hemorrhage from an iatrogenic fistula between the renal pelvis and a large tributary of the renal vein. Conservative management failed to contain the hemorrhage. Hence the fistula was occluded by coil embolization through the renal vein. This endovascular approach enabled rapid and effective stoppage of the venous bleed.There was no recurrence of the bleed or any pertinent complication at 3-month follow-up.
Anil
Gopinathan
G
Department of Radiology, Singapore General Hospital, Hospital Drive, Outram Road, Singapore 169608, Singapore. ivyanil10@gmail.com
Taneja
Manish
M
D000368:Aged; D004621:Embolization, Therapeutic; D005402:Fistula / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D007674:Kidney Diseases / Q000175:diagnosis / Q000628:therapy*; D007682:Kidney Pelvis / Q000293:injuries*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D010690:Phlebography; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D012082:Renal Veins / Q000293:injuries*; D014517:Ureteral Obstruction / Q000601:surgery*; D014548:Urinary Fistula / Q000175:diagnosis / Q000628:therapy*