Pseudoaneurisma intrarrenal secundario a nefrolitotomía percutánea: revisión de la literatura y reporte de un caso

Abstract

IntroductionThe intrarenal pseudoaneurysm after percutaneous nephrolithotomy is a rare clinical entity, and is present in less than 1% of cases. A review is made of the available literature, as well as a case report of a patient with intrarenal pseudoaneurysm after percutaneous nephrolithotomy. Materials and MethodsThe case of 26 year-old patient is presented, on whom a left percutaneous nephrolithotomy was performed. The patient had hematuria, anemia, and hemodynamic instability. And therefore an Intrarenal Pseudoaneurysm was detected by CT angiography. The patient was treated with selective Histoacryl® 15% endovascular embolization. ConclusionsThe endovascular approach can currently be considered as the standard management of vascular complications of percutaneous nephrolithotomy, with high success rates and advantages for the patient, such as low morbidity, and preservation of renal function.© 2012 Sociedad Colombiana de Urología. Published by Elsevier España, S.L. All rights reserved.