Postnephrectomy fistula between the renal artery stump and inferior vena cava treated with Amplatzer vascular plug: Gray-scale and Doppler sonographic findings
✍ Scribed by Manish Taneja; Vasanthan Metupalle; Tay Kiang Hiong; Tan Bien Soo; Austin Htoo
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 177 KB
- Volume
- 36
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Fistulous communication between the renal artery stump and the inferior vena cava is a rare complication of nephrectomy. We report a case of an adult male in whom a fistula was detected on investigation for persistent postoperative anemia. The fistula was initially identified with Doppler sonography and subsequently confirmed on a catheter angiogram. It was successfully occluded percutaneously with an Amplatzer vascular plug. The plug had a distinctive appearance on subsequent sonographic studies that was useful for follow‐up evaluation. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008