Delayed Presentation of Renal Arterio-Venous Fistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report

  • Amey Narkhede Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India
  • Ajit Yadav Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India
  • Manish Malik Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India
  • Manish Kiran Shrestha Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India
  • Arun Gupta Department of Interventional Radiology, Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, India
Keywords: renal arterio-venous fistula; renal biopsy; renal pseudoaneurysm.

Abstract

Iatrogenic complications due to renal biopsy majorly include formation of an arterio-venous fistula, pseudoaneurysm or arterio-ureteral fistula. These complications are observed within a span of few days post biopsy and are rare after few years. We reported a case of  32-year-old renal allograft recipient male presenting 6 years post biopsy of the left kidney with left lumbar region pain who was eventually diagnosed with arterio-venous fistula and pseudoaneurysm involving inferior interlobular branch of left renal artery. Superselective embolization was achieved using coils and high concentration glue and transient placement of a venous occlusion balloon with complete technical and clinical success.

 

Published
2019-08-31
How to Cite
Narkhede, A., Yadav, A., Malik, M., Shrestha, M. K., & Gupta, A. (2019). Delayed Presentation of Renal Arterio-Venous Fistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report. Journal of Nepal Medical Association, 57(218). https://doi.org/10.31729/jnma.4494
Section
Case Reports