Spontaneous thrombosis of an iatrogenic arteriovenous fistula of the kidney
A 44-year-old woman underwent radial nephrotomy for a symptomatic stone in a caliceal diverticulum. Five days after an uneventful postoperative course of 1 week, she presented with gross hematuria. Routine ultrasound demonstrated a hypoechoic lesion in the kidney; color-coded sonography revealed an...
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Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2001-07, Vol.58 (1), p.106-106 |
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creator | Garcia-Schürmann, J.Miguel Sommerfeld, Hans-Jörg Pannek, Jürgen |
description | A 44-year-old woman underwent radial nephrotomy for a symptomatic stone in a caliceal diverticulum. Five days after an uneventful postoperative course of 1 week, she presented with gross hematuria. Routine ultrasound demonstrated a hypoechoic lesion in the kidney; color-coded sonography revealed an arteriovenous fistula. The hematuria ended before the scheduled angiography to embolize the fistula was performed. Repeated color-coded sonography revealed spontaneous thrombosis of the lesion. The follow-up examination 6 months later confirmed these findings. As traumatic arteriovenous fistulas have a good chance of spontaneous closure, invasive treatment should be postponed for as long as possible. |
doi_str_mv | 10.1016/S0090-4295(01)00982-7 |
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Five days after an uneventful postoperative course of 1 week, she presented with gross hematuria. Routine ultrasound demonstrated a hypoechoic lesion in the kidney; color-coded sonography revealed an arteriovenous fistula. The hematuria ended before the scheduled angiography to embolize the fistula was performed. Repeated color-coded sonography revealed spontaneous thrombosis of the lesion. The follow-up examination 6 months later confirmed these findings. 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As traumatic arteriovenous fistulas have a good chance of spontaneous closure, invasive treatment should be postponed for as long as possible.</description><subject>Adult</subject><subject>Arteries - abnormalities</subject><subject>Arteriovenous Fistula - diagnostic imaging</subject><subject>Arteriovenous Fistula - etiology</subject><subject>Arteriovenous Fistula - therapy</subject><subject>Embolization, Therapeutic</subject><subject>Female</subject><subject>Hematuria - etiology</subject><subject>Humans</subject><subject>Kidney - blood supply</subject><subject>Kidney Calculi - surgery</subject><subject>Nephrectomy - adverse effects</subject><subject>Stents</subject><subject>Ultrasonography</subject><subject>Veins - abnormalities</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78BKUn0UN10iZNcxJZ_MIFD-s9pOlEo7vNmqQL_nu7H-jR0zDwvPMyDyGnFK4o0Op6CiAhZ4XkF0Avh6UucrFDRpQXIpdS8l0y-kUOyGGMHwBQVZXYJweUMsaZlCPyPF34LukOfR-z9B78vPHRxczbTHeZ0yn4N-ycyXRIGJxfYrcirYupn-kVlt4x-3Rth9_HZM_qWcST7Twi0_u71_FjPnl5eBrfTnJTFCzlqJua1zUvmGVQCElbQ42FqgEtRIlNxRpdMd3opuQIteVoOGfCQomC2fKInG-uLoL_6jEmNXfR4Gy2eUIJkEKWUA8g34Am-BgDWrUIbq7Dt6KgVg7V2qFaCVJA1dqhEkPubFvQN3Ns_1JbaQNwswFweHLpMKhoHHYGWxfQJNV690_FDxakgjQ</recordid><startdate>200107</startdate><enddate>200107</enddate><creator>Garcia-Schürmann, J.Miguel</creator><creator>Sommerfeld, Hans-Jörg</creator><creator>Pannek, Jürgen</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200107</creationdate><title>Spontaneous thrombosis of an iatrogenic arteriovenous fistula of the kidney</title><author>Garcia-Schürmann, J.Miguel ; Sommerfeld, Hans-Jörg ; Pannek, Jürgen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c224t-eab8588524f402791dc1cf06b0a773eb64ba64abab35e08f5ec5547f03e74f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Arteries - abnormalities</topic><topic>Arteriovenous Fistula - diagnostic imaging</topic><topic>Arteriovenous Fistula - etiology</topic><topic>Arteriovenous Fistula - therapy</topic><topic>Embolization, Therapeutic</topic><topic>Female</topic><topic>Hematuria - etiology</topic><topic>Humans</topic><topic>Kidney - blood supply</topic><topic>Kidney Calculi - surgery</topic><topic>Nephrectomy - adverse effects</topic><topic>Stents</topic><topic>Ultrasonography</topic><topic>Veins - abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia-Schürmann, J.Miguel</creatorcontrib><creatorcontrib>Sommerfeld, Hans-Jörg</creatorcontrib><creatorcontrib>Pannek, Jürgen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia-Schürmann, J.Miguel</au><au>Sommerfeld, Hans-Jörg</au><au>Pannek, Jürgen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous thrombosis of an iatrogenic arteriovenous fistula of the kidney</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2001-07</date><risdate>2001</risdate><volume>58</volume><issue>1</issue><spage>106</spage><epage>106</epage><pages>106-106</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>A 44-year-old woman underwent radial nephrotomy for a symptomatic stone in a caliceal diverticulum. 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source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Adult Arteries - abnormalities Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - therapy Embolization, Therapeutic Female Hematuria - etiology Humans Kidney - blood supply Kidney Calculi - surgery Nephrectomy - adverse effects Stents Ultrasonography Veins - abnormalities |
title | Spontaneous thrombosis of an iatrogenic arteriovenous fistula of the kidney |
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