皮肤后利切除术伪动脉瘤栓塞 - 血管内线圈立即迁移到盆腔系统,导致阻塞
D Paul Vincent1, R Ravichandran1, Abhineet Gupta1
1Department of Urology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India.
概括
透皮利切除术 (PCNL) 血管栓塞过程中的罕见并发症涉及线圈和的迁移到盆腔系统,导致阻塞. 在稳定后,通过内镜成功地检索了迁移的线圈.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 干预性放射学 干预性放射学
背景情况:
- 经皮瘤切除术 (PCNL) 后,出血是严重的并发症.
- 伪动脉瘤形成是PCNL后出血的已知原因,需要进行干预.
研究的目的:
- 报告一个在PCNL后伪动脉瘤的血管栓塞过程中立即卷轴和粘合物迁移的独特案例.
- 要突出盆腔囊系统阻塞的潜力和管理策略.
主要方法:
- 选择性血管栓塞是为了管理由于伪动脉瘤引起的PCNL后出血症而进行的.
- 烯酸盐用于栓塞,随后进行计算机断层扫描 (CT) 扫描.
- 在患者稳定后,进行了迁移线圈的内镜检索.
主要成果:
- 在手术过程中,栓塞线圈和粘合剂立即迁移到盆腔系统.
- 这种迁移导致了盆腔尿道结口阻塞.
- 成功地实现了迁移线圈的内镜检索.
结论:
- 这是第一次报告在PCNL后伪动脉瘤血管栓塞期间,线圈和粘合剂立即迁移到盆腔系统的病例.
- 泌尿科医生和干预放射科医生必须意识到这种罕见但严重的并发症.
- 及时诊断和内镜干预对于成功管理至关重要.
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