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post PCN arterio-calyceal fistula      7/16/2011

a 47 hypertensive man underwent PCN due to 2 cm lower calyceal stone, discharged on 3rd post operative day and returned to ER with gross hematuria on 11 post operative day. bed confinement and compressive dressing on flank rendered the patient hematuria free; hematuria recurred on 17 post op day patient underwent highly selective renal angiography , bleeding site was determined and was ablated after which bleeding ceased

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