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Renal arteriovenous malformation causing hematuria: Case report and review of the literature

RATIONALE: Renal arteriovenous malformations are rare vascular morphological anomalies that can be classified as congenital, idiopathic and acquired, of which congenital renal arteriovenous malformations are the most common. This disease is a rare cause of hematuria. In this case report, we report t...

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Autores principales: Wang, Xin, Zhao, Zhankui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470693/
https://www.ncbi.nlm.nih.gov/pubmed/37653758
http://dx.doi.org/10.1097/MD.0000000000034547
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author Wang, Xin
Zhao, Zhankui
author_facet Wang, Xin
Zhao, Zhankui
author_sort Wang, Xin
collection PubMed
description RATIONALE: Renal arteriovenous malformations are rare vascular morphological anomalies that can be classified as congenital, idiopathic and acquired, of which congenital renal arteriovenous malformations are the most common. This disease is a rare cause of hematuria. In this case report, we report the diagnosis and treatment of a patient with renal arteriovenous malformation. We also review the symptoms, diagnosis and treatment of renal arteriovenous malformations in the published literature. PATIENT CONCERNS: A 35-year-old female patient presented to a local hospital with right-sided lumbar abdominal pain with hematuria for 2 days. Physical examination showed percussion pain in the right renal area. Laboratory tests such as routine blood and blood biochemistry did not show any significant abnormalities when the patient entered the hospital. Considering the patient’s medical history, a urological computed tomography scan showed blood accumulation in the right renal pelvis, upper middle ureter and bladder. Subsequently, routine blood tests showed that the patient’s red blood cells and hemoglobin continued to decrease. An emergency renal arteriogram was performed, which showed a tortuous right upper renal pole branch artery and multiple thickened veins communicating with it. DIAGNOSIS: This patient was diagnosed with cirsoid renal arteriovenous malformation. INTERVENTIONS: Renal artery embolization was performed immediately after the renal arteriogram was performed on the patient. OUTCOMES: On review of the angiogram, the tortuous right upper renal pole branch artery was found to be obstructed, and the thickened vein disappeared, and the renal vein was normally visualized in due course. On the third postoperative day, the patient was free of hematuria. Physical examination showed no percussion pain in the renal area. The patient healed and was discharged. A 1-year follow-up was performed and the patient gave feedback that she no longer had symptoms such as back pain and hematuria in her daily life. LESSONS: This case illustrates that early use of vascular interventions is an important method for the diagnosis and treatment of cirsoid renal arteriovenous malformations.
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spelling pubmed-104706932023-09-01 Renal arteriovenous malformation causing hematuria: Case report and review of the literature Wang, Xin Zhao, Zhankui Medicine (Baltimore) 6800 RATIONALE: Renal arteriovenous malformations are rare vascular morphological anomalies that can be classified as congenital, idiopathic and acquired, of which congenital renal arteriovenous malformations are the most common. This disease is a rare cause of hematuria. In this case report, we report the diagnosis and treatment of a patient with renal arteriovenous malformation. We also review the symptoms, diagnosis and treatment of renal arteriovenous malformations in the published literature. PATIENT CONCERNS: A 35-year-old female patient presented to a local hospital with right-sided lumbar abdominal pain with hematuria for 2 days. Physical examination showed percussion pain in the right renal area. Laboratory tests such as routine blood and blood biochemistry did not show any significant abnormalities when the patient entered the hospital. Considering the patient’s medical history, a urological computed tomography scan showed blood accumulation in the right renal pelvis, upper middle ureter and bladder. Subsequently, routine blood tests showed that the patient’s red blood cells and hemoglobin continued to decrease. An emergency renal arteriogram was performed, which showed a tortuous right upper renal pole branch artery and multiple thickened veins communicating with it. DIAGNOSIS: This patient was diagnosed with cirsoid renal arteriovenous malformation. INTERVENTIONS: Renal artery embolization was performed immediately after the renal arteriogram was performed on the patient. OUTCOMES: On review of the angiogram, the tortuous right upper renal pole branch artery was found to be obstructed, and the thickened vein disappeared, and the renal vein was normally visualized in due course. On the third postoperative day, the patient was free of hematuria. Physical examination showed no percussion pain in the renal area. The patient healed and was discharged. A 1-year follow-up was performed and the patient gave feedback that she no longer had symptoms such as back pain and hematuria in her daily life. LESSONS: This case illustrates that early use of vascular interventions is an important method for the diagnosis and treatment of cirsoid renal arteriovenous malformations. Lippincott Williams & Wilkins 2023-08-25 /pmc/articles/PMC10470693/ /pubmed/37653758 http://dx.doi.org/10.1097/MD.0000000000034547 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 6800
Wang, Xin
Zhao, Zhankui
Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title_full Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title_fullStr Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title_full_unstemmed Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title_short Renal arteriovenous malformation causing hematuria: Case report and review of the literature
title_sort renal arteriovenous malformation causing hematuria: case report and review of the literature
topic 6800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470693/
https://www.ncbi.nlm.nih.gov/pubmed/37653758
http://dx.doi.org/10.1097/MD.0000000000034547
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