CASE REPORT

Renal arteriovenous fistula: A rare complication of electro-hydraulic lithotripsy

F A Abogunrin

MRCS (Edin). Urology Department, Belfast City Hospital, Belfast, Northern Ireland

Correspondence

ABSTRACT

Renal arteriovenous fistula (rAVF) is an uncommon condition, usually iatrogenic and in most cases caused by percutaneous renal needle biopsy. This is a report of rAVF following flexible ureteroscopic electro-hydraulic lithotripsy of a lower pole renal calculus and its subsequent management. A high index of suspicion is required for the diagnosis of this rare complication, which is easily treated by radiological intervention.

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REFERENCES

1. Saliou C, Raynaud A, Blanc F, Azencot M, Fabiani JN. Idiopathic renal arteriovenous fistula: treatment with embolization. Ann Vasc Surg 1998;12(1):75-77. [http://dx.doi.org/10.1007/s100169900119]        [ Links ]

2. Benson DA, Stockinger ZT, McSwain NE Jr. Embolization of an acute renal arteriovenous fistula following a stab wound: case report and review of the literature. Am Surg 2005;71(1):62-65.         [ Links ]

3. Sendi P, Toia D, Nussbaumer P. Percutaneous embolization of renal arteriovenous fistula. Vasa 2005;34(3):207-210. [http://dx.doi.org/10.1024/0301-1526.34.3.207]        [ Links ]

4. Lupattelli T, Garaci FG, Manenti G, Belli AM, Simonetti G. Giant high-flow renal arteriovenous fistula treated by percutaneous embolization. Urology 2003;61(4):837 [http://dx.doi.org/10.1016/S0090-4295(02)02438-X]        [ Links ]

5. Grocela JA, Dretler SP. Intracorporeal lithotripsy. Instrumentation and development. Urol Clin North Am 1997;24(1):13-23.         [ Links ]

6. Rudnick DM, Dretler SP. Intrarenal pseudoaneurysm following ureterorenoscopy and electrohydraulic lithotripsy. J Urol 1998;159(4):1290-1291.         [ Links ]

7. Aston W, Whiting R, Bultitude M, Challacombe B, Glass J, Dasgupta P. Pseudoaneurysm formation after flexible ureterorenoscopy and electrohydraulic lithotripsy. Int J Clin Pract 2004;58(3):310-311. [http://dx.doi.org/10.1111/j.1368-5031.2004.00046.x]        [ Links ]

8. Tiplitsky SI, Milhoua PM, Patel MB, Minsky L, Hoenig DM. Intarenal arteriovenous fistula after ureteroscopic stone extraction with holmium laser lithotripsy. J Endourol 2007;21(5):530-532. [http://dx.doi.org/10.1089/end.2006.0371]        [ Links ]

Correspondence:
 F A Abogunrin
(abogsloc@yahoo.co.uk)