肾结肠瘘作为射频治疗肾细胞癌的一种并发症。
Renocolic fistula as a complication of radiofrequency in the treatment of renal cell carcinoma.
作者信息
Sáenz Medina Javier, Redondo González Enrique, Hernández-Atance José Miguel, Crespo Martínez Luis, Llanes González Luis, Rendón Sánchez David, Páez Borda Alvaro
机构信息
Urology Department, Hospital de Fuenlabrada, Madrid, Spain.
出版信息
Arch Esp Urol. 2010 Jan-Feb;63(1):74-7.
METHOD
Beyond postoperative suspicion, retrograde pyelogram was performed, the images of which are displayed, and demonstrated the fistula.
RESULTS
Treatment has been definitive nephrectomy after failed attempt to seal the fistula with suture and TachoSil.
CONCLUSIONS
Although radiofrequency ablation can be a valid technique for treating small renal tumors in patients with high morbidity, it is not without significant complications as described in this case, despite the precautions taken.
方法
除了术后怀疑外，还进行了逆行肾盂造影，其图像显示并证实了瘘管的存在。
结果
在用缝线和速即纱封堵瘘管失败后，最终进行了肾切除术。
结论
尽管射频消融对于高发病率患者的小肾肿瘤治疗可能是一种有效的技术，但如本病例所述，尽管采取了预防措施，仍会出现严重并发症。
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