Persistent urinary leak after partial nephrectomy in a child: Definitive therapy with percutaneous glue.

Autor: Fugaru I; Departments of Pediatric Surgery and Surgery, Divisions of Urology, Canada., Muchantef K; Department of Radiology, Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Blvd Montreal, QC, H4A 3J1, Canada., Capolicchio JP; Departments of Pediatric Surgery and Surgery, Divisions of Urology, Canada.
Jazyk: angličtina
Zdroj: Urology case reports [Urol Case Rep] 2022 Apr 02; Vol. 43, pp. 102078. Date of Electronic Publication: 2022 Apr 02 (Print Publication: 2022).
DOI: 10.1016/j.eucr.2022.102078
Abstrakt: Urinary fistulas are usually managed with diversion, and persistent fistulas may require nephrectomy. For refractory cases in adults, rare reports have described percutaneous glues as an alternative to nephrectomy. We present the case of a child with persistent urinary leak after partial nephrectomy for recurrent microabscesses. In order to spare the child nephrectomy, the fistula was treated percutaneously with the application of cyanoacrylate glue and a vascular occlusion plug. This is the first report of percutaneous glue treatment with an adjunct vascular occlusion device for a urinary leak, and the first report of percutaneous management of a pediatric urinary fistula.
Competing Interests: None.
(© 2022 The Authors.)
Databáze: MEDLINE