1.Pyeloduodenal Fistula Successfully Treated By Endoscopic Ligation without Surgical Nephrectomy: Case Report.
Kyung Nam LEE ; In Hye HWANG ; Min Ji SHIN ; Soo Bong LEE ; Il Young KIM ; Dong Won LEE ; Harin RHEE ; Byeong Yun YANG ; Eun Young SEONG ; Ihm Soo KWAK
Journal of Korean Medical Science 2014;29(1):141-144
A 74-yr-old woman presented with fever and abdominal discomfort. She was in a septic condition caused by urinary tract infection. Her computed tomogram of the abdomen revealed features of hydronephrosis with ureteral stones in both kidneys. During percutaneous nephrostomies, right pyeloduodenal fistula (PDF) was diagnosed. Elective surgery was originally planned but the patient was in a poor condition to undergo surgery. Instead, 2 times endoscopic clipping and ligation by endoloop were applied with parenteral antibiotics for the fistula lesion. On admission day 30, she was discharged from the hospital after confirmation of no more contrast leakage on fistulography. We reviewed the literature and discuss the etiologies, clinical presentations, diagnosis, and treatment of PDF.
Aged
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Duodenal Diseases/complications/radiography/*surgery
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Female
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Humans
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Hydronephrosis/complications/radiography
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Intestinal Fistula/complications/radiography/*surgery
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Kidney/radiography/surgery
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Kidney Calculi/complications/radiography
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Kidney Diseases/complications/radiography/*surgery
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Ligation
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Urethral Obstruction/complications/radiography
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Urinary Fistula/complications/radiography/*surgery
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Urinary Tract Infections/complications/radiography
2.Renal subcapsular haematoma: an unusual complication of renal artery stenting.
Dan XIA ; Shan-wen CHEN ; Hong-kun ZHANG ; Shuo WANG
Chinese Medical Journal 2011;124(9):1438-1440
After successful renal artery angioplasty and stent placement, a patient in a fully anticoagulated state developed hypotension and flank pain. Computed tomography (CT) of the abdomen revealed a large renal subcapsular haematoma which was successfully managed conservatively without embolotherapy and surgical intervention. To prevent hemorrhage after renal artery stenting, it is necessary to underscore the importance of reducing the contrast volume and pressure of angiography, controlling systemic blood pressure, and monitoring guide wire position at all times.
Aged
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Hematoma
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diagnostic imaging
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etiology
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surgery
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Humans
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Kidney Diseases
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diagnostic imaging
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etiology
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surgery
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Male
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Radiography
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Renal Artery Obstruction
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complications
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diagnostic imaging
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surgery