tailieunhanh - Báo cáo y học: "Congenital intrarenal arteriovenous malformation presenting with gross hematuria after endoscopic intervention: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Congenital intrarenal arteriovenous malformation presenting with gross hematuria after endoscopic intervention: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Congenital intrarenal arteriovenous malformation presenting with gross hematuria after endoscopic intervention a case report Michael Seitz 1 Tobias Waggershauser2 and Wael Khoder1 Address Department of Urology University Hospital Grosshadern Marchioninistrasse 81377 Munich Germany and 2Department of Radiology University Hospital Grosshadern Marchioninistrasse 81377 Munich Germany Email Michael Seitz - Tobias Waggershauser - Wael Khoder - Corresponding author Published 12 October 2008 Received 6 October 2007 Journal of Medical Case Reports 2008 2 326 doi 1752-1947-2-326 Accepted 12 October 2008 This article is available from http content 2 1 326 2008 Seitz et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Although diagnostic ureterorenoscopy is a minimally invasive and effective diagnostic procedure it has the potential for significant postoperative complications. We report the first case in the literature of intrarenal arteriovenous fistulas causing hemodynamic effective anemia 4 days after ureterorenoscopic biopsy. Case presentation A 63-year-old Caucasian woman presented with hemodynamic effective macrohematuria hemoglobin 70 g liter 4 days after ureterorenoscopy and biopsy of the upper pole collecting system due to recurrent microhematuria. Duplex-sonography and computed tomography angiography revealed multiple arteriovenous fistulas and erosions into the calyceal system. Intra-arterial digital subtraction angiography confirmed this condition. After superselective embolization of the .