Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

• Autorzy: Radomir Naumovic , Tomislav Pejcic , Ilias Cinara , Jordi Català , Irene Moysset , Myreia Jimeno
• Języki publikacji: EN

Abstrakty

EN

A case of renal arteriovenous fistula between the main renal artery and interlobar vein diagnosed 25 years after percutaneous renal biopsy was presented. A 62-year-old female was referred to a urologist with dilatation of the left renal pyelocalyceal system diagnosed after abdominal ultrasonography, while intravenous urography did not confirm that finding. Historically, she underwent renal biopsy 25 years ago without any complication. Her hypertension was well controlled during the last 10 years, although three antihypertensive drugs with occasional additional diuretics were necessary during the last 6 months. Color Duplex Ultrasonography, arteriography and Multi-Slice Computed Tomography revealed the presence of renal arteriovenous fistula between the main renal artery and interlobar vein, as well as severe dilatation of all interlobar veins, renal, ovarian and adrenal vein on the left side. Urological and vascular surgeons operated to ligate the fistula and preserve the kidney. However, it was not possible to reach the fistula inside the kidney and nephrectomy was performed.

Słowa kluczowe

EN

Renal arteriovenous fistula; Hypertension; Hematuria; Nephrectomy

• Czasopismo: Open Medicine
• Rocznik: 2014
• Tom: 9
• Numer: 5
• Strony: 676-679

Daty

wydano

2014-10-01

online

2014-07-31

Twórcy

autor

Radomir Naumovic

• Clinical Center of Serbia, Belgrade, Serbia,

autor

Tomislav Pejcic

• Clinic of Urology, Clinical Center of Serbia, Belgrade, Serbia

autor

Ilias Cinara

• Clinic of Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia

autor

Jordi Català

• Clinic of Urology, Clinical Center of Serbia, Belgrade, Serbia

autor

Irene Moysset

• Clinic of Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia

autor

Myreia Jimeno

• Clinic of Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia

Bibliografia

• [1] Fergany A, Novick AC. Renovascular Hypertension and Ischemic Nephropathy. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology, 10th ed. Philadelphia, USA, Saunders, 2012: chapter 39
• [2] Gainza FJ, Minguela I, Lopez-Vidaur I, Ruiz LM, Lampreabe I: Evaluation of complications due to percutaneous renal biopsy in allografts and native kidneys with color-coded Doppler sonography. Clin Nephrol 1995; 43:303–308 [PubMed]
• [3] Tondel C, Vikse BE, Bostad L, Svarstad E. Safety an d Complications of Percutaneous Kidney Biopsies in 715 Children and 8573 Adults in Norway 1988–2010. Clin J Am Soc Nephrol 2012; 10:1591–1597 http://dx.doi.org/10.2215/CJN.02150212[WoS][Crossref]
• [4] Breza J Jr, Javorka V Jr, Mizickova M, Goncalves FM, Breza J Sr. Arterio-venous fistula with pseudoaneurysm of renal artery. Bratisl Lek Listy. 2012; 113:289–292 [PubMed]
• [5] Loffroy R, Guiu B, Lambert A, et al: Management of postbiopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and long-term outcomes. Clin Radiol 2008; 63:657–665 http://dx.doi.org/10.1016/j.crad.2007.11.014[WoS][Crossref]
• [6] Okamura T, Tatsura H, Kohri K. Asymptomatic intrarenal arteriovenous fistula accompanying severe renal vein dilatation detected 30 years after percutaneous renal biopsy. Urol Int. 1998;61:261–262 http://dx.doi.org/10.1159/000030325[Crossref]
• [7] Parrish AE. Complications of percutaneous renal biopsy: a review of 37 years’ experience. Clin Nephrol. 1992;38:135–41
• [8] Kang KP, Kwak HS, Han YM, Yoon IY, Lee S, Kim W, Park SK. A delayed case of renal artery pseudoaneurysm presented with gross hematuria and azotemia in solitary kidney following percutaneous nephrostomy: treated by transcatheter coil embolization. Int Urol Nephrol. 2008;40:811–813 http://dx.doi.org/10.1007/s11255-006-9139-9[Crossref][WoS]
• [9] Ettorre GC, Francioso G, Francavilla I, Di Giulio G, Vinci R, Esposito T, Campobasso N. Renal arteriovenous fistulas after renal biopsy. Percutaneous embolization. Radiol Med. 2000;100:357–362 [PubMed]
• [10] Crotty KL, Orihuela E, Warren MM. Recent advances in the diagnosis and treatment of renal arteriovenous malformations and fistulas. J Urol. 1993;150:1355–1359 [PubMed]
• [11] Osawa T, Watarai Y, Morita K, Kakizaki H, Nonomura K. Surgery for giant high-flow renal arteriovenous fistula: experience in one institution. BJU Int. 2006;97:794–798 http://dx.doi.org/10.1111/j.1464-410X.2006.06108.x[Crossref]

Identyfikatory

DOI

10.2478/s11536-013-0320-0