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Renal Venous Perforation during Reinsertion of a Percutaneous Nephrostomy Catheter
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hil Hyun Song, Young Hwii Ko, Bong Gi Ok, Yeong Uk Kim, Kwon Soo Lee, Dae Hyeon Kwon, Hyun Tae Kim, Sin-Youl Park, Hee Chang Jung
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Korean J Urogenit Tract Infect Inflamm 2014;9(1):56-59. Published online April 30, 2014
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Abstract
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- While the sustainment of percutaneous nephrostomy with regular change in chronic un-operable cases is widely performed for relief of urinary obstructions, performance of the blind procedure without fluoroscopic monitoring could result in clinical disaster. We report on a case of direct renal vein injury by mis-guidance of a nephrostomy catheter, which was successfully managed conservatively by serial venography monitoring combined with intensive conservative treatment. To the best of our knowledge, this is the first report on management of a renal vein injury during the percutaneous nephrostomy.
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