[Calyceal fistula in a renal allograft treated with N-Butyl-2-cyanoacrylate].

نویسندگان

  • L Riera Canals
  • S Arbeláez Arango
  • C González-Satue
  • C Sancho
  • J Domínguez
  • O Buisan Rueda
  • N Serrallach Milá
چکیده

BACKGROUND Calyceal fistulas are common and difficult to treat after surgery of urinary collecting system. METHODS A 30-year old woman. The fifth day after receiving a cadaver donor renal allograft presented an acute rejection episode; fourteen days later presented an urinoma treated with a percutaneous drainage tube. Five days later surgical exploration was made, lower pole infarction and ischemic necrosis of distal ureter were found. Parcial nephrectomy and neo-ureterovesical anastomosis were performed. Later, an inferior calyceal fistula was evidenced, persisting during several weeks in spite of a percutaneous drainage tube. Under fluoroscopic guidance the fistulous tract was embolized with N-butyl-2-cyanoacrylate. RESULTS The fluoroscopic control confirmed the total closure of the fistula. After 22 months no reappearance of the fistula, no stenosis has been shown at this level. CONCLUSIONS This is a useful technique for the treatment of calyceal fistulas. This is the first time that N-butyl-2-cyanoacrylate is use in the treatment of a calyceal fistula.

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عنوان ژورنال:
  • Actas urologicas espanolas

دوره 27 7  شماره 

صفحات  -

تاریخ انتشار 2003