INTRODUCTION: Percutaneous nephrostomy (PN) is a common urological procedure with mild complications in most cases.CASE DESCRIPTION: We present a case of massive and life-threatening hematuria, presenting 29 days following PN. This is an uncommon complication of PN due to a delayed rupture of a pseudoaneurysm (PA) arising from a segmental artery. Bleeding was successfully treated by percutaneous trans-arterial super-selective embolization.CONCLUSIONS: Hematuria, due to PA formation, should always be kept in mind in case of late hematuria following PN, as it needs to be promptly treated. Super-selective arterial embolization with metallic coils is an effective procedure to stop bleeding, and it may be a valid substitute for surgical intervention.
Delayed and Life-Threatening Hematuria Following Percutaneous Nephrostomy Placement / Castellani, Daniele. - In: SURGICAL TECHNOLOGY INTERNATIONAL. - ISSN 1090-3941. - 31:(2017), pp. 151-153.
Delayed and Life-Threatening Hematuria Following Percutaneous Nephrostomy Placement
Castellani Daniele
Primo
Writing – Original Draft Preparation
2017-01-01
Abstract
INTRODUCTION: Percutaneous nephrostomy (PN) is a common urological procedure with mild complications in most cases.CASE DESCRIPTION: We present a case of massive and life-threatening hematuria, presenting 29 days following PN. This is an uncommon complication of PN due to a delayed rupture of a pseudoaneurysm (PA) arising from a segmental artery. Bleeding was successfully treated by percutaneous trans-arterial super-selective embolization.CONCLUSIONS: Hematuria, due to PA formation, should always be kept in mind in case of late hematuria following PN, as it needs to be promptly treated. Super-selective arterial embolization with metallic coils is an effective procedure to stop bleeding, and it may be a valid substitute for surgical intervention.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
