Isolated Calyx Mistaken for a Cyst: Inappropriately Performed Catheter-Directed Sclerotherapy and Safe Removal of the Catheter After Selective Embolization

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• 作者：Jng Won Gwak (1)
  Seung Hwa Lee (1)
  Hwan Hoon Chung (1)
  Bo Kyung Je (1)
  Suk kyu Yeom (1)
  Deuk Jae Sung (2)
  
  1. Department of Radiology ; Ansan Hospital ; Korea University College of Medicine ; 516 Gojan-dong Danwon-gu ; Ansan-si ; Gyeonggi-do ; 425-707 ; Korea
  2. Department of Radiology ; Anam Hospital ; Korea University College of Medicine ; Anam-dong 5ga ; Seongbuk-gu ; 136-705 ; Korea
  
• 关键词：Kidney ; Renal ; Sclerotherapy ; Embolization ; Embolotherapy ; Isolated calyx
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：38
• 期：1
• 页码：242-246
• 全文大小：912 KB
• 参考文献：1. Skolarikos A, Laguna MP, de la Rosette JJ (2012) Conservative and radiological management of simple renal cysts: a comprehensive review. BJU Int 110(2):170鈥?78 CrossRef
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  9. Mues AC, Landman J, Gupta M (2010) Endoscopic management of completely excluded calices: a single institution experience. J Endourol 24(8):1241鈥?245 CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Nuclear Medicine
  Ultrasound
  Cardiology
  
• 出版者：Springer New York
• ISSN：1432-086X

文摘

We present a case of isolated calyx that was mistaken for a large cyst. A 47-year-old woman was referred for sclerotherapy of a large cystic lesion on her left kidney. Computed tomography (CT) and ultrasound showed that the cystic lesion was a large cyst. We noticed that the cystic lesion was not a typical simple cyst, even after two sessions of catheter-mediated sclerotherapy. Isolated calyx was presumed by medical history review and was confirmed by aspirated fluid analysis and far delayed-phase CT after intravenous contrast injection. We performed meticulous selective arterial embolization for an isolated calyx and inserted a catheter that could be removed without complication.