Publikasi Scopus 2024 per tanggal 31 Agustus 2024 (707 artikel)

Seno D.H.; Siregar M.A.R.; Afriansyah A.; Arisutawan I.P.K.; Leonardo K.
Seno, Doddy Hami (57255640300); Siregar, Moammar Andar Roemare (57255058200); Afriansyah, Andika (57190688768); Arisutawan, I. Putu Kokohana (58837376800); Leonardo, Kevin (57733172300)
57255640300; 57255058200; 57190688768; 58837376800; 57733172300
A rare case report of renal vein embolization after failed selective angioembolization to treat delayed complication of percutaneous nephrolithotomy
2024
International Journal of Surgery Case Reports
115
109257
0
Department of Surgery, Division of Urology, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Surgery, Division of Cardiothoracic and Vascular, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Seno D.H., Department of Surgery, Division of Urology, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Siregar M.A.R., Department of Surgery, Division of Urology, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Afriansyah A., Department of Surgery, Division of Urology, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Arisutawan I.P.K., Department of Surgery, Division of Cardiothoracic and Vascular, Persahabatan General Hospital - Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Leonardo K., Department of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Introduction: Percutaneous nephrolithotomy (PCNL) has been considered the standard procedure for renal caliculi for its safety, shorter operative time, and cost-effectivity. Despite being minimally invasive, rare complications may still occur. This case presented a rare case of renal venous pseudoaneurysm after PCNL. Presentation of case: A 34-year-old male was diagnosed with left lower calyx renal stone sized 14x13x8 mm with 388–571 Hounsfield Unit (HU). He underwent left mini PCNL with standard protocol. However, on two-weeks follow-up, gross haematuria was presented on emergency department admission. Patient underwent two times cystoscopy and blood clot evacuation. Postoperative contrast-enhanced CT showed saccular lesion sized 6.7 mm × 4.8 mm in the interlobar vein of left kidneys' lower pole. Patient was then consulted to Cardiothoracic-Vascular division, and undergone selective angiography and left renal artery embolization-coiling (VortX Diamond-18). Complaints and haemoglobin decline persists; thus, another attempt of embolization was performed with a different approach. Follow-up arteriography and venography showed complete obliteration of the aneurysm sac, followed by cessation of symptoms. This study is reported in line with SCARE criteria. Discussion: This is a rare case where a second embolization attempt (specifically via vein) was needed to overcome PCNL postoperative complication. Reviewing vascular complications risk factors after PCNL is crucial. This case report suggests complication management could be handled appropriately through procedures of selective angiography and embolization. Conclusion: Coil embolization targeting the vein is a potentially effective and safe for selective cases of renal vein pseudoaneurysm. This case shows the importance of multidisciplinary approach and collaboration for better patient management. © 2024
Arteriovenous fistula; Complications; PCNL; Pseudoaneurysm; Renal vein embolization
hemoglobin; adult; arteriography; arteriovenous fistula; Article; artificial embolization; blood clot; case report; clinical article; coil embolization; computer assisted tomography; cost effectiveness analysis; cystoscopy; emergency ward; evaluation study; false aneurysm; follow up; human; kidney artery embolization; kidney calyx; kidney vein; male; mini-percutaneous nephrolithotomy; operation duration; percutaneous nephrolithotomy; phlebography; risk factor
Elsevier Ltd
22102612
Article
Q3
193
19555