Back to Search
Start Over
Transcatheter renal arterial embolization for intractable urinary fistula occurring after robot-assisted partial nephrectomy: a case report.
Transcatheter renal arterial embolization for intractable urinary fistula occurring after robot-assisted partial nephrectomy: a case report.
- Source :
-
CEN case reports [CEN Case Rep] 2024 Dec; Vol. 13 (6), pp. 425-428. Date of Electronic Publication: 2024 Mar 19. - Publication Year :
- 2024
-
Abstract
- Partial nephrectomy is the standard surgical procedure for small renal tumors. Since the advent of robot-assisted partial nephrectomy (RAPN), the number of cases of renal tumors undergoing the procedure has increased exponentially. Urinary fistula is a complication of partial nephrectomy. Conservative management using ureteral stents is useful in most cases of urinary fistulas. However, some patients develop intractable urinary fistulas. Herein, we report a case in which vascular embolization was useful for treating an infected and intractable urinary fistula that developed after RAPN. A 59-year-old man was accidentally found to have a right renal tumor (approximately 3 cm in diameter) during a physical examination. Pathology was clear cell carcinoma. RAPN was performed owing to the small size of the renal tumor; however, postoperatively, an intractable urinary fistula with an isolated calyx developed, which was successfully treated with transcatheter renal arterial embolization (TAE). We encountered a rare case of infected refractory urinary fistula with an isolated calyx in which TAE was successful. TAE seems useful in treating intractable urinary fistulas with an isolated calyx occurring after RAPN.<br />Competing Interests: Declarations. Conflicts of interest: All the authors have declared no competing interests. Ethical approval: The ethics committee of Tokai University approved this case report. Informed consent: Informed consent was obtained from the patient for publication of this case report.<br /> (© 2024. The Author(s), under exclusive licence to Japanese Society of Nephrology.)
- Subjects :
- Humans
Male
Middle Aged
Treatment Outcome
Postoperative Complications therapy
Carcinoma, Renal Cell surgery
Nephrectomy methods
Nephrectomy adverse effects
Embolization, Therapeutic methods
Urinary Fistula etiology
Urinary Fistula therapy
Urinary Fistula surgery
Robotic Surgical Procedures methods
Kidney Neoplasms surgery
Renal Artery
Subjects
Details
- Language :
- English
- ISSN :
- 2192-4449
- Volume :
- 13
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- CEN case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38502302
- Full Text :
- https://doi.org/10.1007/s13730-024-00866-2