RESUMO
We report a case of intrarenal pseudoaneurysm of the right kidney after percutaneous nephrolithotomy (PCNL) in supine position. Diagnosis was established by angiotomography with a 3-D reconstruction. Treatment was successfully achieved by endovascular occlusion using N-butyl-2-cyanoacrylate.
Assuntos
Falso Aneurisma/etiologia , Embucrilato/análogos & derivados , Nefrostomia Percutânea/efeitos adversos , Artéria Renal , Adesivos Teciduais/uso terapêutico , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/terapia , Angiografia/métodos , Embolização Terapêutica , Embucrilato/uso terapêutico , Humanos , Imageamento Tridimensional , Cálculos Renais/cirurgia , Masculino , Pessoa de Meia-Idade , Artéria Renal/diagnóstico por imagemRESUMO
We report a case of intrarenal pseudoaneurysm of the right kidney after percutaneous nephrolithotomy (PCNL) in supine position. Diagnosis was established by angiotomography with a 3-D reconstruction. Treatment was successfully achieved by endovascular occlusion using N-butyl-2-cyanoacrylate.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Falso Aneurisma/etiologia , Embucrilato/análogos & derivados , Nefrostomia Percutânea/efeitos adversos , Artéria Renal , Adesivos Teciduais/uso terapêutico , Falso Aneurisma , Falso Aneurisma/terapia , Angiografia/métodos , Embolização Terapêutica , Embucrilato/uso terapêutico , Imageamento Tridimensional , Cálculos Renais/cirurgia , Artéria RenalRESUMO
A 64-year-old woman presented with recurrent gross hematuria and intermittent left-sided pain. A CT scan revealed an 8-cm mass in the left moiety of a horseshoe kidney. A laparoscopic transperitoneal approach was employed to control the vessels and release the left moiety of the kidney and a hand-assisted approach was performed for isthmectomy using compression of normal parenchyma and monopolar electrocautery. Additional sutures were applied externally in isthmus through hand-assisted incision to enhance hemostasis. The patient was discharged on postoperative day 4 with no complications and no relapse after a 1-year follow-up. We conclude that our technique is safe, cheap and effective for this complex clinical entity.