Percutaneous nephrolithotripsy (PNL) is a safe and effective treatment modality for the management of renal stones. This technique is associated with high success rates and few complications. The most important complication is hemorrhage. Delayed hemorrhage following PNL is rare complication and usually occurs due to development of the pseudoaneurysm or Arteriovenous fistula which can be successfully managed with arterial embolization. Here we are reporting a case of delayed post-PNL bleeding that occurred in a 41-year-old male operated on for renal stone. Multi Detector Computed Tomography scan revealed a presence of the pseudoaneurysm and Arteriovenous fistula in the inferior segmental branch of the left renal artery, which was successfully managed with amplatzer vascular plug.
A 72-year-old female patient with history of hepatitis C virus infection complicated by liver cirrhosis and decompensated liver disease. She had presented with abdominal distention and shortness of breath. This was gradually increased over 30 days with diffuse abdominal pain. Abdominal palpation was normal except for diminished liver span, fluid thrill, and shifting dullness. abdominal paracentesis at the right lower abdominal quadrant was done. After 24 hours of the paracentesis, the patient complaint from pain at the puncture site and there was ecchymosis occupying the anterior abdominal wall treated successfully by arterial embolization.
Arteriovenous malformations (AVM) of mandibula are rare abnormal congenital vascular condition that can result in serious complications. Although, various treatment options have been advocated in the literature, there seems to be no complete consensus on a suitable treatment option in these cases. Here, we describe a case of mandibular AVM, who has presented with massive oral bleeding, treated successfully by embolization of the bilateral external carotid arteries and the left superior thyroid artery. During the procedure, the patient developed symptoms of acute ischemic stroke that was diagnosed and managed during the same session by endovascular techniques.
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