Abstract
We present the case of a 31-year-old man who was admitted to the hospital with persistent macrohematuria. Computed tomography revealed a renal hematoma (Fig. 1) that extended to the renal pelvis. After placement of a mono-J catheter into the right ureter, the patient was assigned to our department for further diagnosis and treatment. We performed digital substraction angiography. The right kidney was supplied by three arteries, and selective angiography was performed for every single artery. The lower one had a common trunk with the median sacral artery (Fig. 2). Selective and superselective angiography of the lower renal artery revealed an arteriovenous malformation (AVM) that was fed by an interlobar artery (Fig. 3). Interdisciplinary discussion with the referring urological department led to the decision to treat the AVM interventionally.
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