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CASE REPORT
Year : 2009  |  Volume : 25  |  Issue : 3  |  Page : 392-394

Emerging role of multi-detector computed tomography in the diagnosis of hematuria following percutaneous nephrolithotomy: A case scenario


Department of Urology, Amrita Institute of Medical Sciences, Kochi, India

Correspondence Address:
S E Sivanandam
Department of Urology, Amrita Institute of Medical Sciences, Elamakkara, Kochi-26, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.56176

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Persistent hematuria is one of the most dreaded complications following percutanous nephrolithotomy (PCNL). Although invasive, a catheter-based angiogram is usually used to localize the bleeding vessel and subsequently embolize it. Advances in imaging technology have now made it possible to use a non invasive multi-detector computed tomography (MDCT) angiogram with 3-D reconstruction to establish the diagnosis. We report a case of post-PCNL hemorrhage due to a pseudo aneurysm that was missed by a conventional angiogram and subsequently detected on MDCT angiogram.


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