STI Volume 31

 

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Surgical Technology International 31

 

Surgical Technology International Vol. 31 contains 59 peer-reviewed articles featuring the latest advances in surgical techniques and technologies.

 

December-2017- ISSN:1090-3941

 

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Urology

Delayed and Life-Threatening Hematuria Following Percutaneous Nephrostomy Placement
Daniele Castellani, MD, Consultant Urologist

 

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.

 

921

3-12-2017

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