Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach
Renal arteriovenous malformations are rare, with significant challenges in management due to their high-flow nature and potential serious complications. We present a case of a 78-year-old female with no significant medical history, who presented with hematuria and right-sided lumbar pain. Imaging re...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
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| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001779 |
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| Summary: | Renal arteriovenous malformations are rare, with significant challenges in management due to their high-flow nature and potential serious complications. We present a case of a 78-year-old female with no significant medical history, who presented with hematuria and right-sided lumbar pain. Imaging revealed a large right renal arteriovenous malformation. Due the size and the location, a surgical approach by right nephrectomy rather than endovascular therapy was decided. Prior to surgery, the renal arteriovenous malformation ruptured into the renal excretory cavities, with a retroperitoneal aneurysm causing a large hematoma and hematuria. Emergency embolization was performed, followed by a nephrectomy the next day. |
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| ISSN: | 2214-4420 |