Renal artery embolization post subtotal nephrectomy for xanthogranulomatous pyelonephritis: A case report
| Autor: | Christopher J. Gutjahr, Joss R. Wertz, Daniel Harwood, Aakriti Mishra |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Perioperative management medicine.diagnostic_test business.industry medicine.medical_treatment Subtotal nephrectomy Interventional radiology General Medicine medicine.disease 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Xanthogranulomatous pyelonephritis 030220 oncology & carcinogenesis Parenchyma medicine Renal artery embolization Embolization business Obstructive uropathy |
| Zdroj: | American Journal of Interventional Radiology. 5:3 |
| ISSN: | 2572-4606 2572-4614 |
| DOI: | 10.25259/ajir_28_2020 |
| Popis: | Xanthogranulomatous pyelonephritis (XGPN) is a rare, chronic disease characterized by the destruction of renal parenchyma and replacement with granulomatous tissue and is associated with long-term obstructive uropathy, chronic renal parenchymal infection, and nephrolithiasis. A 57-year-old patient with XGPN was unable to undergo total nephrectomy. Renal artery embolization (RAE) was performed post subtotal nephrectomy as adjunct therapy to prevent urine formation and decrease the risk of post-operative infection. Our case report demonstrates that RAE can be performed safely and effectively without evident complications and underscores the utility of cone-beam computed tomography in cases of altered post-surgical anatomy. To the author’s knowledge, this is the second case in the literature demonstrating perioperative management of XGPN with RAE. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|