Tekin M I, Peşkircioğlu L, Boyvat F, Ozkardes H
Department of Urology, Başkent University School of Medicine, Ankara, Turkey.
Tech Urol. 2001 Mar;7(1):67-9.
A 35-year-old woman who underwent partial nephrectomy had prolonged postsurgical urinary extravasation that led to a percutaneous fistula. A double-J catheter used as a ureteral stent during surgery was in place. A percutaneous pigtail nephrostomy was inserted on the 15th postoperative day but drainage continued. Antegrade pyelography demonstrated extravasation at the lower pole calyx. The double-J stent was removed on the 21st postoperative day, and a retrograde pyelogram showed no obstruction. Because drainage still was excessive on the 25th postoperative day, the fistula tract was embolized percutaneously with N-butyl cyanoacrylate, a tissue adhesive material. Drainage ceased immediately after the procedure, and control pyelography confirmed no extravasation. The patient was discharged on the 28th postoperative day. The patient had no additional complications at 36-month follow-up.
一名接受了部分肾切除术的35岁女性术后出现长时间尿外渗，导致经皮瘘形成。手术期间用作输尿管支架的双J导管仍在位。术后第15天插入了经皮猪尾肾造瘘管，但仍有引流。顺行肾盂造影显示下极肾盏有外渗。术后第21天取出双J支架，逆行肾盂造影显示无梗阻。由于术后第25天引流仍过多，遂用组织粘合剂材料N-丁基氰基丙烯酸酯经皮栓塞瘘管。术后引流立即停止，对照肾盂造影证实无外渗。患者于术后第28天出院。在36个月的随访中，患者无其他并发症。
