Document Detail


Embolization with absolute ethanol injection of insufficiently ligated renal artery after open nephrectomy.
MedLine Citation:
PMID:  19885784     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 54-year-old woman was admitted to hospital for hypotension and anemia which was due to intermittent hemorrhage from a lumbar drain. She had undergone open nephrectomy ten days earlier in another hospital for the right dysfunctional kidney with staghorn calculi. Ultrasound in our hospital showed a right retroperitoneal hematoma. Surgical exploration was performed twice whereby the hematoma was partially eliminated; however, the point of bleeding was not identified. Repeated attacks of bleeding from the drain accompanied by acute pain made the hypotension with tachycardia even worse, which led to a life-threatening hemorrhagic shock. Extravasation from the insufficiently ligated right renal artery was then shown on computed tomography aortography. After selective catheterization of this arterial stump with a mixture of alcohol and contrast media, complete occlusion of the remaining part of the resected renal artery was achieved. Application of absolute alcohol, though risky, proved to be a quick and efficient alternative method of occlusion of the bleeding renal arterial stump.
Authors:
Biljana Markovic; Zeljko Markovic; Tomislav Pejcic
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Publication Detail:
Type:  Journal Article     Date:  2009-11-02
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  17     ISSN:  1305-3612     ISO Abbreviation:  Diagn Interv Radiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  88-91     Citation Subset:  IM    
Affiliation:
From the Departments of Radiology, University of Belgrade Medical Faculty, Belgrade, Serbia.
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