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
Hauptverfasser: Garcia-Schürmann, J.Miguel, Sommerfeld, Hans-Jörg, Pannek, Jürgen
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container_title Urology (Ridgewood, N.J.)
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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.
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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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