TY - JOUR
T1 - Successful conservative management of colorenal fistula after percutaneous cryoablation of renal-cell carcinoma
AU - VanderBrink, Brian A.
AU - Rastinehad, Ardeshir
AU - Caplin, Drew
AU - Ost, Michael C.
AU - Lobko, Igor
AU - Lee, Benjamin R.
PY - 2007/7/1
Y1 - 2007/7/1
N2 - Background: Cryoablation is an increasingly utilized treatment for renal-cell carcinoma. We describe the first reported case of colorenal fistula resulting from percutaneous renal cryoablation. Case Report: A 63-year-old man with hematuria was found to have an enhancing renal mass that was treated with percutaneous CT-guided cryoablation. Two months later, he presented with lower urinary-tract symptoms, and CT imaging revealed a colorenal fistula at the ablation site. Ureteral stent placement resulted in resolution of the fistula. Conclusions: Contrary to previously reported animal and clinical studies, our case report demonstrates that it is possible to incur serious harm to the renal collecting system as a result of percutaneous renal cryoablation. In stable patients, an attempt at conservative management of a fistula should precede extensive reconstructive efforts.
AB - Background: Cryoablation is an increasingly utilized treatment for renal-cell carcinoma. We describe the first reported case of colorenal fistula resulting from percutaneous renal cryoablation. Case Report: A 63-year-old man with hematuria was found to have an enhancing renal mass that was treated with percutaneous CT-guided cryoablation. Two months later, he presented with lower urinary-tract symptoms, and CT imaging revealed a colorenal fistula at the ablation site. Ureteral stent placement resulted in resolution of the fistula. Conclusions: Contrary to previously reported animal and clinical studies, our case report demonstrates that it is possible to incur serious harm to the renal collecting system as a result of percutaneous renal cryoablation. In stable patients, an attempt at conservative management of a fistula should precede extensive reconstructive efforts.
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U2 - 10.1089/end.2006.0211
DO - 10.1089/end.2006.0211
M3 - Article
C2 - 17705759
AN - SCOPUS:34548190745
VL - 21
SP - 726
EP - 729
JO - Journal of Endourology
JF - Journal of Endourology
SN - 0892-7790
IS - 7
ER -