Montoya-M G, Vega-E J, Moreno-A O, Huerta JC

Language: Spanish
References: 10
Page: 85-88
PDF size: 747.59 Kb.

ABSTRACT

Objective: to present a case of spontaneous renal arteriovenous fistula treated at the Hospital Regional General No.1 "Gabriel Mancera" of the Instituto Mexicano del Seguro Social (IMSS). Case Report: A 27-year-old female with no pathologicmedical background who presented with total, intermittent, macroscopic hematuria with clots as the only symptom causing severe anemia. Ureterorenoscopy and diagnostic renal arteriography were carried out. She was treated with percutaneous selective arterial embolization with absolute ethanol. The patientes experienced a favorable and uncomplicated evolution. After 1 year of follow-up, she remains asymptomatic and her laboratory parameters are normal. Discussion: spontaneous renal arteriovenous fístula is a rare disease; the majority of the cases are related to renal trauma or renal surgery. Treatment by arterial embolization is very effective and prognosis is excellent.

REFERENCES

1. Cho KJ, Stanley JC. Nonneoplastic congenital and acquired renal arteriovenous malformations and fistulas. Radiology 1978;29:333.

2. Crummy AB Jr, Atkinson RJ, Caruthers SB. Congenital renal arteriovenous fistulas. J Urol 1965;93:24.

3. Fogazzi GB, Moriggi M, Fontanella U. Spontaneous renal arteriovenous fístula as a cause of haematuria. Nephrol Dials Trasplant 1997;12(2):350-356.

4. Messing E, Kessler R, Kavaney PB. Renal artenovenous fistula. Urology 1976;8:101.

5. Sarramon JP, Cerene A, Gorodetski N, Bernardet P, Durand D. Spontaneous renal arteriovenous fístula and arterial hypertension. Conservative treatment and healing. Eur Urol 1978;4(3):214-216.

6. Pollack HM, Bruce LM. Disorders of the renal arterial circulation. In: Dyer R, Philip JK Clinical urography. 2nd ed. Phyladelphia, PA, USA: WB. Saunders Co.; 2000, pp. 3364-3367.

7. Dalmas P, Moiroud F, Daos N, Payan-Cassin II, Abignoly AM, Bartoli JM. Fistules arterioveineuses renales intraparenchymateuses congenitales. Progr Urol 1999;(4):742-746.

8. Tajima M, Sawamura Y, Matsushima ME. Two cases of renal arteriovenous fistula. Acta Urol Japon 1983;29(10):1295-1296.

9. Saliou C, Raynaud A, Blanc F, Azencot M, Fabián JN. Idiopathic renal arteriovenous fistula: Treatment with embolization. Ann Vasc Surg 1998 Jan; 12(1):75-77.

10. Hayakawa Ke, Aoyagi T, Ohashi M, Ishikawa H, Hata M. Surgical treatment for an idiopathic renal arteriovenous fistula with a large aneurysm. Int J Urol 2001;8(1):26-28.