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Renal Venous Perforation during Reinsertion of a Percutaneous Nephrostomy Catheter

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초록

While the sustainment of percutaneous nephrostomy with regular change in chronic un-operable cases is widely performed for relief of urinary obstructions, performance of the blind procedure without fluoroscopic monitoring could result in clinical disaster. We report on a case of direct renal vein injury by mis-guidance of a nephrostomy catheter, which was successfully managed conservatively by serial venography monitoring combined with intensive conservative treatment. To the best of our knowledge, this is the first report on management of a renal vein injury during the percutaneous nephrostomy.

Abstract

While the sustainment of percutaneous nephrostomy with regular change in chronic un-operable cases is widely performed for relief of urinary obstructions, performance of the blind procedure without fluoroscopic monitoring could result in clinical disaster. We report on a case of direct renal vein injury by mis-guidance of a nephrostomy catheter, which was successfully managed conservatively by serial venography monitoring combined with intensive conservative treatment. To the best of our knowledge, this is the first report on management of a renal vein injury during the percutaneous nephrostomy.

참고문헌 (10)

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  2. Thanos L, "Percutaneous CT-guided nephrostomy : a safe and quick alternative method in management of obstructive and nonobstructive uropathy", J Endourol, 20, pp.486~490 (2006)
  3. Cochran ST, "Percutaneous nephrostomy tube placement: an outpatient procedure?", Radiology, 179, pp.843~847 (1991)
  4. Jones CD, "Computed tomographic evaluation and guided correction of malpositioned nephrostomy catheters", Abdom Imaging, 24, pp.422~425 (1999)
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  6. Khoo L, "Success and short-term complication rates of percutaneous nephrostomy during pregnancy", J Vasc Interv Radiol, 15, pp.1469~1473 (2004)
  7. Stables DP, "Percutaneous nephrostomy : techniques, indications, and results", Urol Clin North Am, 9, pp.15~29 (1982)
  8. Farrell TA, "A review of radiologically guided percutaneous nephrostomies in 303 patients", J Vasc Interv Radiol, 8, pp.769~774 (1997)
  9. Chan PN, "Case report : lumbar artery bleeding as a complication of percutaneous nephrostomy in a patient with coagulopathy", Br J Radiol, 77, pp.878~880 (2004)
  10. Gupta M, "Massive hemorrhage from renal vein injury during percutaneous renal surgery : endourological management", J Urol, 157, pp.795~797 (1997)

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