Abstract
Transcatheter embolization of renal angiomyolipomas is a routinely performed, nephron-sparing procedure with a favorable safety profile. Complications from this procedure are typically minor in severity, with postembolization syndrome the most common minor complication. Abscess formation is a recognized but uncommon major complication of this procedure and is presumably due to superinfection of the infarcted tissue after arterial embolization. In this case report, we describe the formation of a renoduodenal fistula after embolization of an angiomyolipoma, complicated by intracranial abscess formation and requiring multiple percutaneous drainage procedures and eventual partial nephrectomy.
This is a preview of subscription content, log in via an institution to check access.
References
Rimon U, Duvdevani M, Garniek A et al (2006) Large renal angiomyolipomas: digital subtraction angiographic grading and presentation with bleeding. Clin Radiol 61:520–526
Steiner MS, Goldman SM, Fishman EK, Marshall FF (1993) The natural history of renal angiomyolipoma. J Urol 150:1782–1786
Kothary N, Soulen MC, Clark TWI et al (2005) Renal angiomyolipoma: long-term results after arterial embolization. J Vasc Interv Radiol 16:45–50
Chatziioannou A, Gargas D, Malagari K et al (2012) Transcatheter arterial embolization as therapy of renal angiomyolipomas: the evolution in 15 years of experience. Eur J Radiol 81:2308–2312
Ewalt DH, Diamond N, Rees C et al (2005) Long-term outcome of transcatheter embolization of renal angiomyolipomas due to tuberous sclerosis complex. J Urol 174:1764–1766
Munk PL, Morris DC, Nelems B (1990) Left main bronchial-esophageal fistula: a complication of bronchial artery embolization. Cardiovasc Intervent Radiol 13:95–97
Vanderbrink BA, Rastinehad A, Caplin D et al (2007) Successful conservative management of colorenal fistula after percutaneous cryoablation of renal-cell carcinoma. J Endourol 21:726–729
de Arruda HO, Goldman S, Andreoni C et al (2006) Renoduodenal fistula after renal tumor ablation with radiofrequency. Surg Laparosc Endosc Percutan Tech 16:342–343
Lee SY, Hsu HH, Chen YC et al (2009) Embolization of renal angiomyolipomas: short-term and long-term outcomes, complications, and tumor shrinkage. Cardiovasc Intervent Radiol 32:1171–1178
Yoon JW, Koo JR, Baik GH et al (2004) Erosion of embolization coils and guidewires from the kidney to the colon: delayed complication from coil and guidewire occlusion of renal arteriovenous malformation. Am J Kidney Dis 43:1109–1112
Conflict of interest
Dr. Feldman has served as a consultant for Novartis Pharmaceuticals for the medical treatment of spontaneous angiomyolipomas. Rahul A. Sheth declares no conflict of interest. T. Gregory Walker declares no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sheth, R.A., Feldman, A.S. & Walker, T.G. Renoduodenal Fistula After Transcatheter Embolization of Renal Angiomyolipoma. Cardiovasc Intervent Radiol 38, 232–235 (2015). https://doi.org/10.1007/s00270-014-0887-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-014-0887-0