Iatrogenic renal arteriovenous fistula treated with coil embolization

Discussion:

Renal AV fistulas are rare complications from percutaneous lithotripsy, occurring in about 1-4% of cases.

This patient had percutaneous lithotripsy treatment for of coraliform calculi with nephrostomy tube placement. After the nephrostomy tube was withdrawn, there was severe hematuria requiring packed red blood cells transfusion. After embolization, the bleeding ceased and the patient was discharged.

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