Percutaneous embolization of contained iatrogenic vesicourethral fistula using Amplatzer vascular plug and N-butyl-2-cyanoacrylate: a case report.
therapeutic embolization
urinary bladder
urinary fistula
Journal
Polish journal of radiology
ISSN: 1733-134X
Titre abrégé: Pol J Radiol
Pays: Poland
ID NLM: 101175532
Informations de publication
Date de publication:
2021
2021
Historique:
received:
27
05
2020
accepted:
26
06
2020
entrez:
27
9
2021
pubmed:
28
9
2021
medline:
28
9
2021
Statut:
epublish
Résumé
Reports on percutaneous embolization of vesicourethral anastomotic fistula are limited. A 59-year-old male presented with persistent contained vesicourethral fistula following low anterior resection and radical retropubic prostectomy for rectal cancer. A contained fistula with urinary leakage of 350 ml/day through a Jackson-Pratt (JP) tube was found at the posterior aspect of the vesicourethral anastomotic site on cystography. After 1 month of failed conventional urinary drainage manoeuvre, percutaneous embolization of the contained fistula was successfully performed through the JP tube. An Amplatzer vascular plug (AVP) was used to block the fistula and N-butyl-2-cyanoacrylate (NBCA) was used to obliterate the urinoma cavity. Computed tomography scans at 1-month and 1-year follow-ups showed stable AVP position and complete obliteration of the cavity by NBCA. The contained vesicourethral anastomotic fistula was successfully managed with AVP and NBCA via a JP drainage tube. It is expected that AVP will block the fistula and NBCA will obliterate the urinoma cavity effectively.
Identifiants
pubmed: 34567297
doi: 10.5114/pjr.2021.108880
pii: 45068
pmc: PMC8449559
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e500-e503Informations de copyright
© Pol J Radiol 2021.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Int Braz J Urol. 2003 May-Jun;29(3):221-7; discussion 227
pubmed: 15745525
BMC Urol. 2013 Oct 24;13:55
pubmed: 24152605
AJR Am J Roentgenol. 2008 Dec;191(6):1847-51
pubmed: 19020258
J Vasc Interv Radiol. 2019 Dec;30(12):2002-2008
pubmed: 31420260
J Vasc Interv Radiol. 2012 Mar;23(3):428-30
pubmed: 22365303
J Urol. 2010 Dec;184(6):2452-5
pubmed: 20952023
Cardiovasc Intervent Radiol. 2012 Aug;35(4):725-40
pubmed: 22526108
J Vasc Interv Radiol. 2009 Oct;20(10):1390-2
pubmed: 19713129
J Urol. 2012 Aug;188(2):369-76
pubmed: 22698622
J Urol. 2005 Dec;174(6):2239-43
pubmed: 16280778
Radiology. 2006 May;239(2):591-8
pubmed: 16569784
Int J Urol. 2005 Sep;12(9):838-41
pubmed: 16201982
BJU Int. 2010 Dec;106(11):1632-7
pubmed: 20590540
Rev Col Bras Cir. 2016 May-Jun;43(3):185-8
pubmed: 27556543
Tech Urol. 2001 Mar;7(1):67-9
pubmed: 11272684
Urology. 2009 Jan;73(1):124-6
pubmed: 18845321