Giant idiopathic renal arteriovenous fistula requiring urgent nephrectomy.

Authors

Marc C Smaldone
Robert J Stein
Jae-Sung Cho
Wendy W Leng

Publication/Presentation Date

3-1-2007

Abstract

Idiopathic renal arteriovenous fistulas (AVFs) with acute hemorrhage are exceedingly rare. However, a rare entity such as a renal AVF may be overlooked and have disastrous consequences, requiring an urgent management decision between endovascular or surgical treatment. We report the case of a 61-year-old man, who presented with painless gross hematuria and clot retention. Computed tomography revealed a giant renal arteriovenous malformation, in the absence of any clinical stigmata such as hypertension or congestive heart failure. Gross hematuria resulted from AVF erosion into the collecting system. Given the size of the AVF, endovascular coil embolization was attempted but deemed too risky, necessitating urgent nephrectomy.

Volume

69

Issue

3

First Page

1

Last Page

3

ISSN

1527-9995

Published In/Presented At

Smaldone, M. C., Stein, R. J., Cho, J. S., & Leng, W. W. (2007). Giant idiopathic renal arteriovenous fistula requiring urgent nephrectomy. Urology, 69(3), 576.e1–576.e5763. https://doi.org/10.1016/j.urology.2007.01.041

Disciplines

Medicine and Health Sciences

PubMedID

17382177

Department(s)

Department of Surgery

Document Type

Article