Iatrogenic renal arteriovenous fistula treated with coil embolisation

Case contributed by Dr Stefanos Generalis

Presentation

Persistent hematuria after percutaneous lithotripsy and nephrostomy.

Patient Data

Age: 78
Gender: Male

An arteriovenous fistula from a proximal renal artery bifurcation.

Case Discussion

Renal AV fistulas are rare complications from percutaneous lithotripsy, occurring in about 1-4% of cases.

This patient had percutaneous lithotripsy treatment for of coraliform calculi with nephrostomy tube placement. After the nephrostomy tube was withdrawn, there was severe haematuria requiring packed red blood cells transfusion. After embolisation, the bleeding ceased and the patient was discharged.

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Case Information

rID: 39027
Case created: 17th Aug 2015
Last edited: 24th Sep 2016
Inclusion in quiz mode: Included

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