Villegas-Tovar E, Faes-Petersen R, Díaz-Girón-Gidi A, Gómez SD, Vélez-Pérez FM, Huacuja-Blanco R, Lemus-Ramírez RI, González-Chávez MA, Ojeda-Valdés M, Vázquez-Lavista LG, González-Aguirre AJ, Ramírez-Mucińo A

Language: English
References: 10
Page: 106-109
PDF size: 168.92 Kb.

ABSTRACT

A 45-years-old man, without relevant history that comes after a car accident with left chest and lumbar pain with hematuria. At 8th postsurgical day presented abundant macroscopic hematuria so urotomography was performed, it showed a probable renal arteriovenous fistula (AVF). Renal arteriography was performed and treated with 2 articulated coils and selective arterial embolization with lipidol and cyanoacrylate. The patient improved without complications. A one-year follow remains asymptomatic and laboratory studies are normal. The AVF traumatic kidney is a rare entity. It is important to conduct a proper diagnostic approach and not expose the patient to unnecessary surgeries or procedures that could compromise the functionality of the organ. With the advent of minimally invasive procedures, in this case, supported by interventional radiology, the management of this condition does not cause further damage to the functional tissue; in addition its effectiveness it is very high.

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