Transarterial Embolization for Renal Hemorrhage after Percutaneous Nephrolithotomy
Mohammed Habib *
Department of Cardiology, Al Shifa Hospital, Gaza, Palsetine.
Mohammed Hillis
Department of Cardiology, Al Shifa Hospital, Gaza, Palsetine.
Majed Shunnat
Department of Cardiology, Al Shifa Hospital, Gaza, Palsetine.
Mohammed Matar
Department of Radiology, Al Shifa Hospital, Gaza, Palestine.
*Author to whom correspondence should be addressed.
Abstract
Percutaneous nephrolithotripsy (PNL) is a safe and effective treatment modality for the management of renal stones. This technique is associated with high success rates and few complications. The most important complication is hemorrhage. Delayed hemorrhage following PNL is rare complication and usually occurs due to development of the pseudoaneurysm or Arteriovenous fistula which can be successfully managed with arterial embolization. Here we are reporting a case of delayed post-PNL bleeding that occurred in a 41-year-old male operated on for renal stone. Multi Detector Computed Tomography scan revealed a presence of the pseudoaneurysm and Arteriovenous fistula in the inferior segmental branch of the left renal artery, which was successfully managed with amplatzer vascular plug.
Keywords: Arterial embolization, bleeding, percutaneous nephrolithotomy.