Renoduodenal fistula after transcatheter embolization of renal angiomyolipoma.
Transcatheter embolization of renal angiomyolipomas is a routinely performed, nephron-sparing procedure with a favorable safety profile. Complications from this procedure are typically minor in severity, with postembolization syndrome the most common minor complication. Abscess formation is a recognized but uncommon major complication of this procedure and is presumably due to superinfection of the infarcted tissue after arterial embolization. In this case report, we describe the formation of a renoduodenal fistula after embolization of an angiomyolipoma, complicated by intracranial abscess formation and requiring multiple percutaneous drainage procedures and eventual partial nephrectomy.
Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Rahul A
RA
Sheth
Adam S
AS
Feldman
T Gregory
TG
Walker
D000328:Adult; D018207:Angiomyolipoma / Q000628:therapy*; D003287:Contrast Media; D004322:Drainage; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D007680:Kidney Neoplasms / Q000628:therapy*; D009392:Nephrectomy; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy
D003287:Contrast Media