Complication tardive d’une artério-embolisation sélective rénale après chirurgie per-cutanée : une “coilique” néphrétique

Savoie, P.‐H.; Lafolie, T.; Gabaudan, C.; Biance, N.; Avaro, J.-P.; André, Marc; Bertrand, S; Balandraud, Paul

doi:10.1016/s1166-7087(07)92311-8

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…Rutchik and Wong in 2002 showed a migrated embolization coil into the PCS with stone formation in a 36-year-old woman who presented to emergency with gross hematuria which was managed with ureteroscopy [ 9 ]. Savoie et al and Reed et al in 2007 reported two cases of migrated embolization coils being passed in urine by the patients [ 10 , 11 ]. In the previously published case reports of migrated coils patients presented to emergency with hematuria but our patient presented with lumbar pain and he did not have any episode of hematuria following angioembolization.…”

Section: Discussionmentioning

confidence: 99%

Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

Kumar

Jayant

Singh

et al. 2014

Case Reports in Urology

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Delayed bleeding following percutaneous nephrolithotomy (PCNL) usually occurs due to development of the pseudoaneurysm which can be successfully managed with coil embolization. However very few cases of such complications have been reported in the literature. Here we are reporting a case of delayed post-PCNL bleeding that occurred in a 53-year-old diabetic patient operated on for renal stone. Computed tomography scan revealed a presence of the pseudoaneurysm in the segmental branch of right renal artery, which was successfully managed with coiling. Patient remained asymptomatic for the next 9 years after which he again presented with similar complaints. X-ray KUB was done which revealed a 2.7 cms renal pelvic calculus with the migrated coil in its center and a left upper ureteric calculus. His routine haemogram, coagulogram, serum electrolytes, and liver function tests, renal function tests, vitamin D3, and PTH (parathyroid hormone) were within normal limits. He underwent left laparoscopic ureterolithotomy and right percutaneous nephrolithotomy (PCNL). Intraoperatively the migrated stainless steel embolization coil was seen engulfed all around by the multiple stones in the right renal pelvis. Postoperative period was uneventful. Later he was followed in the outpatient department and was doing well. To conclude, this is the only case report of development of a large calculus around a migrated embolization coil which was successfully managed with PCNL. PCNL offers better stone clearance in cases of stones being formed over foreign bodies like fragmented double J stents, fragmented nephrostomies, or migrated embolization coil.

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Section: Discussionmentioning

confidence: 99%

Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

Kumar

Jayant

Singh

et al. 2014

Case Reports in Urology

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“…Savoie et al 11 reported a case in which the patient passed a stone containing a platinum coil. This event happened 5 years after percutaneous nephrolithotomy and embolization of a lower polar artery branch due to persistent hematuria.…”

Section: Discussionmentioning

confidence: 99%

Erosion of Embolization Coils into the Renal Collecting System Mimicking Stone

Phan¹,

Lall²,

Moskowitz³

et al. 2012

WestJEM

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Urinary tract interventions can lead to multiple complications in the renal collecting system, including retained foreign bodies from endourologic or percutaneous procedures, such as stents, nephrostomy tubes, and others. We report a case of very delayed erosion of embolization coils migrating into the renal pelvis, acting as a nidus for stone formation, causing mild obstruction and finally leading to gross hematuria roughly 18 years post transarterial embolization. History is significant for a remote unsuccessful endopyelotomy attempt that required an urgent embolization.

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Early Migration and Ureteric Obstruction of an Embolisation Coil Used to Treat Massive Haemorrhage Following Percutaneous Nephrolithotomy

Rajesparan

Partridge

Taha

et al. 2011

Cardiovasc Intervent Radiol

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Complication tardive d’une artério-embolisation sélective rénale après chirurgie per-cutanée : une “coilique” néphrétique

Cited by 8 publications

References 5 publications

Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

Erosion of Embolization Coils into the Renal Collecting System Mimicking Stone

Early Migration and Ureteric Obstruction of an Embolisation Coil Used to Treat Massive Haemorrhage Following Percutaneous Nephrolithotomy

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