Yilmaz Temel Fatih, Sari Lutfullah, Aykan Mahmut Esat, Gultekin Mehmet Ali, Oz Ibrahim Ilker
Department of Radiology, Bezmialem Vakif University Hospital, Istanbul, Turkey.
Curr Med Imaging. 2021;17(12):1513-1516. doi: 10.2174/1573405617666210628165039.
Nephrocolic fistula is a pathological connection between the kidney and colon. Percutaneous tumour ablation therapy is a rare cause of iatrogenic nephrocolic fistulain in the literature.
Interventional radiologist should be careful especially in patients with repeated ablation. Granulation tissue may lead to unexpected results secondary to tissue fragility and impedance changes.
In addition, we should keep in mind that there is decreasing hydrodissection benefit in cases with previous ablation. As far as we know, this is the first case report of an iatrogenic ephrocolic fistula after microwave ablation for recurrence renal cell carcinoma.
肾结肠瘘是肾脏与结肠之间的病理性连接。经皮肿瘤消融治疗是文献中导致医源性肾结肠瘘的罕见原因。
介入放射科医生应格外小心,尤其是对于接受重复消融的患者。由于组织脆弱性和阻抗变化,肉芽组织可能导致意想不到的结果。
此外,我们应牢记,在先前已进行消融的病例中,水分离的益处会降低。据我们所知,这是首例关于复发性肾细胞癌微波消融术后医源性肾结肠瘘的病例报告。