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CASE REPORT
Year : 2020  |  Volume : 31  |  Issue : 1  |  Page : 39-41

A case with small renal tumor complicated with pulmonary oil embolism after transcatheter arterial embolization


1 Department of Medical Imaging, School of Medicine, Cardinal Tien Hospital, Fu-Jen Catholic University, New Taipei City; Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
2 Department of Urology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
3 Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
4 Department of Urology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei; Department of Urology, School of Medicine, Cardinal Tien Hospital, Fu-Jen Catholic University, New Taipei City, Taiwan

Correspondence Address:
Dr. Yu-An Chen
Department of Urology, National Taiwan University Hospital, 100, No. 7 Zhong Shang South Road, Taipei
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_84_19

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An 85-year-old gentleman was diagnosed with a small right renal cell carcinoma by a radiologist. The patient opted for cryotherapy instead of partial nephrectomy. One day before the scheduled cryoablation, the patient received trans-catheter arterial embolization (TAE) with lipiodol and it was complicated with tumor rupture and peri-renal hematoma formation. The patient was discharged under a stable condition after 12-day's conservative treatment. However, upon arriving home, the patient lost consciousness and was sent to our ER, and presented with asystole. Emergent CT revealed hypoxic-ischemic encephalopathy and pulmonary embolism with bilateral lungs filled with lipiodol. We herein describe a very rare case with complication after treating renal cell carcinoma and review the relevant literature.


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