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Central European Journal of Medicine

, Volume 9, Issue 5, pp 676–679 | Cite as

Wide acquired arteriovenous fistula between main renal artery and interlobar vein treated with nephrectomy

  • Radomir NaumovicEmail author
  • Tomislav Pejcic
  • Ilias Cinara
  • Jordi Català
  • Irene Moysset
  • Myreia Jimeno
Case Report
  • 38 Downloads

Abstract

A case of renal arteriovenous fistula between the main renal artery and interlobar vein diagnosed 25 years after percutaneous renal biopsy was presented. A 62-year-old female was referred to a urologist with dilatation of the left renal pyelocalyceal system diagnosed after abdominal ultrasonography, while intravenous urography did not confirm that finding. Historically, she underwent renal biopsy 25 years ago without any complication. Her hypertension was well controlled during the last 10 years, although three antihypertensive drugs with occasional additional diuretics were necessary during the last 6 months. Color Duplex Ultrasonography, arteriography and Multi-Slice Computed Tomography revealed the presence of renal arteriovenous fistula between the main renal artery and interlobar vein, as well as severe dilatation of all interlobar veins, renal, ovarian and adrenal vein on the left side. Urological and vascular surgeons operated to ligate the fistula and preserve the kidney. However, it was not possible to reach the fistula inside the kidney and nephrectomy was performed.

Keywords

Renal arteriovenous fistula Hypertension Hematuria Nephrectomy 

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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Radomir Naumovic
    • 1
    Email author
  • Tomislav Pejcic
    • 2
  • Ilias Cinara
    • 3
  • Jordi Català
    • 2
  • Irene Moysset
    • 3
  • Myreia Jimeno
    • 3
  1. 1.Clinical Center of SerbiaBelgradeSerbia
  2. 2.Clinic of UrologyClinical Center of SerbiaBelgradeSerbia
  3. 3.Clinic of Vascular and Endovascular SurgeryClinical Center of SerbiaBelgradeSerbia

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