6533b7cffe1ef96bd1259136
RESEARCH PRODUCT
Percutaneous Nephrostomy Catheter Misplacement into Inferior Vena Cava in a Patient with a Horseshoe Kidney
Gabriele TuloneAlberto AbrateAlchiede SimonatoRosa Giaimosubject
medicine.medical_specialtyUrologymedicine.medical_treatmentFistula030232 urology & nephrologyFoley cathetercomplicationCase ReportsInferior vena cava03 medical and health sciences0302 clinical medicinemedicinebusiness.industryemergencyhorseshoe kidneyHorseshoe kidneymedicine.diseaseSurgeryCatheterPercutaneous nephrostomymedicine.vein030220 oncology & carcinogenesisNephrostomycardiovascular systempercutaneous nephrostomyRenal veinhemorrhagebusinessdescription
Background: Percutaneous nephrostomy (PCN) is commonly indicated for upper urinary tract drainage in case of obstruction or fistula. Only a few cases of PCN catheter misplacement into the inferior vena cava (IVC) have been published. Case Presentation: We report a case of a PCN catheter misplaced into the IVC through a fistula between the urinary tract and an ipsilateral renal vein in a patient with horseshoe kidney, after bedside urgent replacement for hemorrhage and hemorrhagic shock. Conclusion: Although a nephrostomy Foley catheter can be used for adequate urinary drainage and hemostatic purposes after percutaneous nephrolithotomy, its placement should be always verified through antegrade pyelography and particular care should be used for horseshoe kidneys. In case of massive hemorrhage, after temporary closure of the PCN catheter, the cause of bleeding should be investigated with urgent angiography or contrast-enhanced CT scan and promptly treated.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-09-17 |