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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Gross hematuria caused by a congenital intrarenal arteriovenous malformation: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Gianpaolo Carrafiello, Domenico Laganà, Gaia Peroni, Monica Mangini, Federico Fontana, Davide Mariani, Gabriele Piffaretti, Carlo Fugazzola
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-510) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

GC, DL, and FF carried out the diagnostic studies and performed the percutaneous embolization. DM and GP reviewed the literature. MM and GP wrote the case report. CF checked and edited the manuscript. All authors read and approved the final manuscript.

Abstract

Introduction

We report the case of a woman who presented with gross hematuria and was treated with a percutaneous embolization.

Case presentation

A 48-year-old Caucasian woman presented with gross hematuria, left flank pain, and clot retention. The patient had no history of renal trauma, hypertension, urolithiasis, or recent medical intervention with percutaneous instrumentation. The patient did not report any bleeding disorder and was not taking any medication. Her systolic and diastolic blood pressure values were normal at presentation. The patient had anemia (8 mg/dL) and tachycardia (110 bpm). She underwent color and spectral Doppler sonography, multi-slice computed tomography, and angiography of the kidneys, which showed a renal arteriovenous malformation pole on top of the left kidney.

Conclusions

The feeding artery of the arteriovenous malformation was selectively embolized with a microcatheter introduced using a right transfemoral approach. By using this technique, we stopped the bleeding, preserved renal parenchymal function, and relieved the patient's symptoms. The hemodynamic effects associated with the abnormality were also corrected.

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