<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852020000200008</article-id>
<article-id pub-id-type="doi">10.48193/rmu.v80i2.585</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula arteriovenosa como complicación de nefrolitotomía percutánea en paciente con riñón en herradura]]></article-title>
<article-title xml:lang="en"><![CDATA[Arteriovenous fistula as a complication of percutaneous nephrolithotomy in a patient with horseshoe kidney]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pulido-Contreras]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medrano-Sánchez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Villegas]]></surname>
<given-names><![CDATA[Olaf]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bautista-López]]></surname>
<given-names><![CDATA[German]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades UMAE 1 ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>80</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852020000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso clínico: Masculino de 48 años con antecedente de enfermedad de las plaquetas gigantes y diagnóstico de riñón en herradura con litiasis renal, se realizó nefrolitotomía percutánea estándar 24Fr, se presentó 10 días posteriores al evento quirúrgico con hematuria macroscópica anemizante, formadora de coágulos, por lo que se sospecha de fístula arteriovenosa, se solicita valoración al servicio de cardiología intervencionista confirmando el diagnóstico y realizando embolización superselectiva en arteria segmentaria anterior y posterior, con resolución completa de la hematuria.  Relevancia:  Presentar una complicación poco frecuente de la nefrolitotomía percutánea como es la hematuria secundaria a fístula arteriovenosa en paciente con anomalía de la fusión renal resuelta mediante mínima invasión.  Implicaciones clínicas:  Tomar medidas en este grupo de pacientes para reducir esta complicación que puede poner en peligro la vida y el manejo mediante embolización superselectiva para evitar un deterioro de la función renal.  Conclusiones: El acceso percutáneo guiado con ultrasonido y Doppler color puede permitir evitar la vasculatura renal durante la punción y el uso de tractos miniaturizados podría reducir el desarrollo de lesión a arterias segmentarias con posterior desarrollo de fistulas. La embolización es segura y efectiva en este grupo de pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Clinical case description: A 48-year-old man had a history of giant platelet disorder and diagnosis of horseshoe kidney with kidney stones. Standard 24 Fr percutaneous nephrolithotomy was performed. Ten days after surgery, the patient presented with clot-forming gross hematuria, resulting in anemia. Arteriovenous fistula was suspected and evaluation at the interventional cardiology service was ordered. Arteriovenous fistula diagnosis was confirmed and superselective embolization was performed in the anterior and posterior segmental artery, with complete resolution of the hematuria.  Relevance:  To present the uncommon, post-percutaneous nephrolithotomy complication of hematuria secondary to arteriovenous fistula that was resolved through a minimally invasive technique in a patient with a kidney fusion anomaly.  Clinical implications:  To take measures in that patient group to reduce what can be a life-threatening complication, managing it through superselective embolization to prevent kidney function deterioration.  Conclusions: Color Doppler ultrasound-guided percutaneous access aids in the prevention of injury to the renal vasculature during puncture and the use of miniaturized tracts can reduce the development of segmental artery lesion that could later condition fistula formation. Embolization is safe and effective in that group of patients.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Arteriovenous fistula]]></kwd>
<kwd lng="en"><![CDATA[horseshoe kidney]]></kwd>
<kwd lng="en"><![CDATA[percutaneous nephrolithotomy]]></kwd>
<kwd lng="es"><![CDATA[Fístula arteriovenosa]]></kwd>
<kwd lng="es"><![CDATA[riñón herradura]]></kwd>
<kwd lng="es"><![CDATA[nefrolitotomía percutánea]]></kwd>
</kwd-group>
</article-meta>
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<name>
<surname><![CDATA[Master Viraj]]></surname>
<given-names><![CDATA[A]]></given-names>
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</person-group>
<article-title xml:lang=""><![CDATA[Minimally Invasive Endovascular Techniques to Treat Acute Renal Hemorrhage]]></article-title>
<source><![CDATA[Journal of Urology]]></source>
<year>2008</year>
<volume>179</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>2248-53</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
