Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy
Percutaneous Nephrolithotomy (PCNL) is a common and safe treatment for large kidney stones.Though several complications are reported.Renal hemorrhage is the most common complication after PCNL with a incidence of 11.2% to 17.5%.There have been reports of post PCNL bleeding attributable to AV fistula...
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Wolters Kluwer Medknow Publications
2023-05-01
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| Series: | Annals of Medical Science and Research |
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| Online Access: | https://journals.lww.com/10.4103/amsr.amsr_71_22 |
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| author | Pankaj Kanti Dey Naveen Kumar Gupta |
| author_facet | Pankaj Kanti Dey Naveen Kumar Gupta |
| author_sort | Pankaj Kanti Dey |
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| description | Percutaneous Nephrolithotomy (PCNL) is a common and safe treatment for large kidney stones.Though several complications are reported.Renal hemorrhage is the most common complication after PCNL with a incidence of 11.2% to 17.5%.There have been reports of post PCNL bleeding attributable to AV fistulas and pseudoaneurysms. Massive bleeding can occur in the early postoperative period (2 to 14 days after PCNL), and arteriovenous fistula formation as a late complication usually 6 weeks after PCNL. A 45 yrs old gentleman presented with bilateral flank pain,right sided prone PCNL done. Then presented with post PCNL hematuria, angioemblosation done twice but again developed hematuria and diagnostic angiography done, and diagnosed as A-V fistula and coiling done. No post operative complications were seen. Angiography is the preferred method and has advantages as it can detect vascular lesions and immediately treated once they are detected.Early diagnosis and treatment of post PCNL hematuria is warrented to reduce morbidity and a successful outcome. |
| format | Article |
| id | doaj-art-cb9f3c2b4ef94bc3826fdf44bd83cf2b |
| institution | Kabale University |
| issn | 2949-785X |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Medical Science and Research |
| spelling | doaj-art-cb9f3c2b4ef94bc3826fdf44bd83cf2b2025-08-20T03:40:50ZengWolters Kluwer Medknow PublicationsAnnals of Medical Science and Research2949-785X2023-05-012212112310.4103/amsr.amsr_71_22Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomyPankaj Kanti DeyNaveen Kumar GuptaPercutaneous Nephrolithotomy (PCNL) is a common and safe treatment for large kidney stones.Though several complications are reported.Renal hemorrhage is the most common complication after PCNL with a incidence of 11.2% to 17.5%.There have been reports of post PCNL bleeding attributable to AV fistulas and pseudoaneurysms. Massive bleeding can occur in the early postoperative period (2 to 14 days after PCNL), and arteriovenous fistula formation as a late complication usually 6 weeks after PCNL. A 45 yrs old gentleman presented with bilateral flank pain,right sided prone PCNL done. Then presented with post PCNL hematuria, angioemblosation done twice but again developed hematuria and diagnostic angiography done, and diagnosed as A-V fistula and coiling done. No post operative complications were seen. Angiography is the preferred method and has advantages as it can detect vascular lesions and immediately treated once they are detected.Early diagnosis and treatment of post PCNL hematuria is warrented to reduce morbidity and a successful outcome.https://journals.lww.com/10.4103/amsr.amsr_71_22arteriovenousdj stentingpercutaneous nephrolithotomy |
| spellingShingle | Pankaj Kanti Dey Naveen Kumar Gupta Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy Annals of Medical Science and Research arteriovenous dj stenting percutaneous nephrolithotomy |
| title | Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| title_full | Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| title_fullStr | Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| title_full_unstemmed | Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| title_short | Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| title_sort | coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy |
| topic | arteriovenous dj stenting percutaneous nephrolithotomy |
| url | https://journals.lww.com/10.4103/amsr.amsr_71_22 |
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