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Introduction and importance <p>Percutaneous nephrolithotripsy is frequently used for treating large renal stones but can lead to significant hemorrhagic complications. This case report emphasizes the importance of a multidisciplinary response to manage post-percutaneous nephrolithotripsy bleeding, with a focus on renal artery embolization.</p> Case presentation <p>A 66-year-old Indonesian man diagnosed previously with bilateral staghorn stones developed persistent gross hematuria after percutaneous nephrolithotripsy procedure. Despite hemodynamic stability, a marked hemoglobin decrease and noncontrast abdominal computed tomography findings indicated bleeding suggesting a ruptured renal artery. Emergency selective angioembolization was successfully performed.</p> Clinical discussion <p>Percutaneous nephrolithotripsy complications often necessitate embolization when there is severe bleeding and gross hematuria. This case highlights the use of angiography and angioembolization with metal microcoils as effective interventions. The prompt collaboration between urologists, radiologists, and internists was crucial in managing the patient’s condition.</p> Conclusion <p>Early and specialized intervention for post-percutaneous nephrolithotripsy bleeding is critical. Renal artery embolization, supported by a multidisciplinary team, proved to be an effective measure in treating severe hemorrhage and safeguarding renal function.</p>

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Renal selective angioembolization for emergency post percutaneous nephrolithotripsy bleeding in Indonesia: a case report and review of literature

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月15日

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  • Marsha Ruthy Darmawan,
  • Djuwita Adi Wahyono,
  • Elita Wibisono,
  • Terawan Agus Putranto

摘要

Introduction and importance

Percutaneous nephrolithotripsy is frequently used for treating large renal stones but can lead to significant hemorrhagic complications. This case report emphasizes the importance of a multidisciplinary response to manage post-percutaneous nephrolithotripsy bleeding, with a focus on renal artery embolization.

Case presentation

A 66-year-old Indonesian man diagnosed previously with bilateral staghorn stones developed persistent gross hematuria after percutaneous nephrolithotripsy procedure. Despite hemodynamic stability, a marked hemoglobin decrease and noncontrast abdominal computed tomography findings indicated bleeding suggesting a ruptured renal artery. Emergency selective angioembolization was successfully performed.

Clinical discussion

Percutaneous nephrolithotripsy complications often necessitate embolization when there is severe bleeding and gross hematuria. This case highlights the use of angiography and angioembolization with metal microcoils as effective interventions. The prompt collaboration between urologists, radiologists, and internists was crucial in managing the patient’s condition.

Conclusion

Early and specialized intervention for post-percutaneous nephrolithotripsy bleeding is critical. Renal artery embolization, supported by a multidisciplinary team, proved to be an effective measure in treating severe hemorrhage and safeguarding renal function.