Delayed symptomatic renal arteriovenous fistula in a 24 years old male following renal biopsy

We report a case of a 24-year-old male with a history of kidney biopsy at young age due to chronic renal dysfunction and challenging hypertension, who presented with flank pain and hematuria. Initial imaging suggested renal pelvis enlargement, but MRI revealed a massive renal arteriovenous malformat...

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Published inUrology case reports Vol. 53; p. 102675
Main Authors Büttner, Thomas, Ellinger, Jörg, Fechner, Guido, Hauser, Stefan, Cox, Alexander, Stein, Johannes, Krausewitz, Philipp
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2024
Elsevier
Subjects
Hematuria
Renal AVM
Renal biopsy
Secondary hypertension
Renal AVM
Renal biopsy
Hematuria
Secondary hypertension
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ISSN2214-4420
2214-4420
DOI10.1016/j.eucr.2024.102675

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Summary:We report a case of a 24-year-old male with a history of kidney biopsy at young age due to chronic renal dysfunction and challenging hypertension, who presented with flank pain and hematuria. Initial imaging suggested renal pelvis enlargement, but MRI revealed a massive renal arteriovenous malformation (AVM). Angiographic embolization was abandoned due to extensive effluent flow, followed by successful surgical resection preserving healthy kidney tissue. This case underscores the importance of considering renal AVMs in the differential diagnosis of young patients with gross hematuria or refractory hypertension to prevent complications and improve patient outcomes.
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ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2024.102675