Gross hematuria caused by a congenital intrarenal arteriovenous malformation: a case report

Gianpaolo Carrafiello,Davide Mariani,Monica Mangini,Domenico Laganà,Carlo Fugazzola,Federico Fontana,Gaia Peroni,Gabriele Piffaretti

doi:10.1186/1752-1947-5-510

Abstract

IntroductionWe report the case of a woman who presented with gross hematuria and was treated with a percutaneous embolization.Case presentationA 48-year-old Caucasian woman presented with gross hematuria, left flank pain, and clot retention. The patient had no history of renal trauma, hypertension, urolithiasis, or recent medical intervention with percutaneous instrumentation. The patient did not report any bleeding disorder and was not taking any medication. Her systolic and diastolic blood pressure values were normal at presentation. The patient had anemia (8 mg/dL) and tachycardia (110 bpm). She underwent color and spectral Doppler sonography, multi-slice computed tomography, and angiography of the kidneys, which showed a renal arteriovenous malformation pole on top of the left kidney.ConclusionsThe feeding artery of the arteriovenous malformation was selectively embolized with a microcatheter introduced using a right transfemoral approach. By using this technique, we stopped the bleeding, preserved renal parenchymal function, and relieved the patient's symptoms. The hemodynamic effects associated with the abnormality were also corrected.

Highlights

We report the case of a woman who presented with gross hematuria and was treated with a percutaneous embolization.Case presentation: A 48-year-old Caucasian woman presented with gross hematuria, left flank pain, and clot retention
The feeding artery of the arteriovenous malformation was selectively embolized with a microcatheter introduced using a right transfemoral approach
The hemodynamic effects associated with the abnormality were corrected

Summary

Introduction

We report the case of a woman who presented with gross hematuria and was treated with a percutaneous embolization. Case presentation: A 48-year-old Caucasian woman presented with gross hematuria, left flank pain, and clot retention. The patient did not report any bleeding disorder and was not taking any medication Her systolic and diastolic blood pressure values were normal at presentation. We present a case of a congenital renal AVM in a woman who presented to our hospital with gross hematuria and was treated with endovascular embolization in an urgent setting. Case presentation A 48-year-old Caucasian woman was admitted to our hospital with left flank pain and gross hematuria with clot retention. The patient did not report any history of renal trauma, hypertension, known urolithiasis, or recent medical intervention in which percutaneous instrumentation was used. The patient’s blood pressure was normal at 90/60 mmHg, and her heart rate was 110 bpm

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