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Digestive Tract Complications of Renal Cryoablation

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Abstract

We report a case each of duodenorenal and colorenal fistula that arose after computed tomography-guided percutaneous cryoablation (PCA) for renal cell carcinoma and use imaging and endoscopic findings to analyze their causes and mechanisms. Both complications occurred though the edge of the iceball did not touch the intestinal wall, and patients’ symptoms and fistula formation occurred several days after the PCA procedure. Based on imaging and endoscopy findings, we suspected the colorenal fistula resulted from bowel injury caused by ischemia from the occlusion of small vessels at the procedure’s low temperature. Both cases were resolved conservatively without surgical intervention.

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Conflict of interest

All authors declare that they have no conflicts of interest.

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Informed consent was obtained from all individual participants included in the study.

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Authors and Affiliations

  1. Department of Radiology, Kashiwa Hospital, The Jikei University School of Medicine, Chiba, Japan

    Kanichiro Shimizu, Kenkichi Michimoto, Yoshihiko Kameoka, Tadashi Tokashiki & Naoki Kurata

  2. Department of Radiology, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan

    Takuji Mogami

  3. Department of Urology, Kashiwa Hospital, The Jikei University School of Medicine, Tokyo, Japan

    Jun Miki & Koichi Kishimoto

Authors
  1. Kanichiro Shimizu
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  2. Takuji Mogami
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  3. Kenkichi Michimoto
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  4. Yoshihiko Kameoka
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  5. Tadashi Tokashiki
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  6. Naoki Kurata
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  7. Jun Miki
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  8. Koichi Kishimoto
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Correspondence to Kanichiro Shimizu.

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Shimizu, K., Mogami, T., Michimoto, K. et al. Digestive Tract Complications of Renal Cryoablation. Cardiovasc Intervent Radiol 39, 122–126 (2016). https://doi.org/10.1007/s00270-015-1110-7

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  • DOI: https://doi.org/10.1007/s00270-015-1110-7

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