Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2020; 8(22): 5790-5794
Published online Nov 26, 2020. doi: 10.12998/wjcc.v8.i22.5790
Bleeding of two lumbar arteries caused by one puncture following percutaneous nephrolithotomy: A case report
Qian Liu, Chuan Yang, Kai Lin, Dong Yang
Qian Liu, Tumor and Interventional Radiology, Hanchuan People’s Hospital, Hanchuan 432300, Hubei Province, China
Chuan Yang, Dong Yang, Urology, Hanchuan People’s Hospital, Hanchuan 432300, Hubei Province, China
Kai Lin, Interventional Radiology, Hanchuan People’s Hospital, Hanchuan 432300, Hubei Province, China
Author contributions: Liu Q and Yang D were the patient’s bedside clinicians, analyzed and interpreted the imaging findings, reviewed the literature and contributed to manuscript drafting; Yang C performed the angiographic image acquisition and interpretation and contributed to manuscript drafting; Liu Q and Lin K performed the renal angiography and embolization; All authors issued final approval for the version to be submitted.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dong Yang, MPhil, Attending Doctor, Urology, Hanchuan People’s Hospital, No. 1 Renmin Avenue Special, Hanchuan 432300, Hubei Province, China. 381847001@qq.com
Received: August 21, 2020
Peer-review started: August 21, 2020
First decision: September 13, 2020
Revised: September 21, 2020
Accepted: October 1, 2020
Article in press: October 1, 2020
Published online: November 26, 2020
Core Tip

Core Tip: Lumbar artery bleeding is an uncommon complication of percutaneous nephrolithotomy (PCNL). This report presents a case where the bleeding of two lumbar arteries was caused by one puncture following PCNL. Radiological imaging revealed pseudoaneurysm and arteriovenous fistula as the two injuries. This case is being reported to inform clinicians and interventional radiologists that lumbar artery damage is one of the causes of severe bleeding after PCNL, and could involve damage of more than one artery. Angiography and embolization should be performed patiently and carefully to avoid underdiagnosis or missed diagnosis.