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伪装成阻塞性结石的氰基丙烯酸酯胶水:肾假性动脉瘤血管栓塞术的罕见后遗症

Cyanoacrylate Glue Masquerading as an Obstructive Calculus: Rare Sequelae of Angioembolization for Renal Pseudoaneurysm.

作者信息

Prasad Siddharth K, Agrawal Omang, Mittal Ankur, Panwar Vikas K, Dubey Deepak

机构信息

Urology, All India Institute of Medical Sciences Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2023 Feb 18;15(2):e35135. doi: 10.7759/cureus.35135. eCollection 2023 Feb.

Abstract

Renal pseudoaneurysm is a well-known albeit rare vascular complication following renal trauma, percutaneous interventions, renal biopsy, and partial nephrectomy. Angioembolization has become an effective treatment option for pseudoaneurysm using Cyanoacrylate glue, Gel-foams, Micro-coils, polyvinyl alcohol, etc. We herein present a 20-year-old gentleman with infected left hydroureteronephrosis secondary to an impacted foreign body in a ureter, specifically, down-migrated cyanoacrylate glue. This is two weeks following glue angioembolization for a left upper polar segmental renal artery pseudoaneurysm secondary to stab injury. He underwent a successful left-side ureteroscopic extraction of this polymerized glue, following which his symptoms subsided. These complications of glue migration following angioembolization are infrequent, and reports of it are scarce in the literature. Stringent follow-up and timely intervention are essential to mitigate disastrous outcomes.

摘要

肾假性动脉瘤是肾外伤、经皮介入治疗、肾活检及肾部分切除术后一种虽罕见但广为人知的血管并发症。血管内栓塞术已成为使用氰基丙烯酸酯胶、明胶海绵、微线圈、聚乙烯醇等治疗假性动脉瘤的有效方法。我们在此报告一名20岁男性,因输尿管内异物嵌顿,具体为下移的氰基丙烯酸酯胶,继发感染性左肾积水。这是在因刺伤导致左肾上极节段性肾动脉假性动脉瘤行胶栓塞术后两周。他成功接受了左侧输尿管镜下取出这种聚合胶的手术,术后症状缓解。血管内栓塞术后胶迁移的这些并发症并不常见,文献中对此的报道也很少。严格的随访和及时的干预对于减轻灾难性后果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f419/10026603/d9fcc0dc1463/cureus-0015-00000035135-i01.jpg

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