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Current Medical Imaging


ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

A Rare Complication of Microwave Ablation for Renal Cell Carcinoma; Nephrocolic Fistula

Author(s): Temel Fatih Yilmaz, Lutfullah Sari*, Mahmut Esat Aykan, Mehmet Ali Gultekin and Ibrahim Ilker Oz

Volume 17, Issue 12, 2021

Published on: 28 June, 2021

Article ID: e280621194352 Pages: 4

DOI: 10.2174/1573405617666210628165039

Price: $65


Introduction: Nephrocolic fistula is a pathological connection between the kidney and colon. Percutaneous tumour ablation therapy is a rare cause of iatrogenic nephrocolic fistulain in the literature.

Case Presentation: Interventional radiologist should be careful especially in patients with repeated ablation. Granulation tissue may lead to unexpected results secondary to tissue fragility and impedance changes.

Conclusion: In addition, we should keep in mind that there is decreasing hydrodissection benefit in cases with previous ablation. As far as we know, this is the first case report of an iatrogenic ephrocolic fistula after microwave ablation for recurrence renal cell carcinoma.

Keywords: Nephrocolic fistula, Microwave Ablation (MWA), Renal Cell Carcinoma (RCC), tissue fragility, hydrodissection, Crohn’s disease.

Graphical Abstract

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