+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Massive hematuria due to a congenital renal arteriovenous malformation mimicking a renal pelvis tumor: a case report



Massive hematuria due to a congenital renal arteriovenous malformation mimicking a renal pelvis tumor: a case report



Journal of Medical Case Reports 2: 144



Congenital renal arteriovenous malformations (AVMs) are very rare benign lesions. They are more common in women and rarely manifest in elderly people. In some cases they present with massive hematuria. Contemporary treatment consists of transcatheter selective arterial embolization which leads to resolution of the hematuria whilst preserving renal parenchyma. A 72-year-old man, who was heavy smoker, presented with massive hematuria and flank pain. CT scan revealed a filling defect caused by a soft tissue mass in the renal pelvis, which initially led to the suspicion of a transitional cell carcinoma (TCC) of the upper tract, in view of the patient's age and smoking habits. However a subsequent retrograde study could not depict any filling defect in the renal pelvis. Selective right renal arteriography confirmed the presence of a renal AVM by demonstrating abnormal arterial communication with a vein with early visualization of the venous system. At the same time successful selective transcatheter embolization of the lesion was performed. This case highlights the importance of careful diagnostic work-up in the evaluation of upper tract hematuria. In the case presented, a congenital renal AVM proved to be the cause of massive upper tract hematuria and flank pain in spite of the initial evidence indicating the likely diagnosis of a renal pelvis tumor.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054264893

Download citation: RISBibTeXText

PMID: 18457585

DOI: 10.1186/1752-1947-2-144


Related references

Massive Hematuria Due to Congenital Renal Arteriovenous Malformation Successfully Treated by Renal Artery Embolization. Journal of the Association of Physicians of India 66(3): 83-85, 2018

Varicocele due to renal arteriovenous malformation mimicking a renal tumor: a case report. Journal of Medical Case Reports 12(1): 2, 2018

Congenital renal arteriovenous malformation presenting with gross hematuria after a routine jog: a case report. Journal of Medical Case Reports 8: 65, 2014

Renal arteriovenous malformation presenting with massive hematuria. Radiology Case Reports 10(1): 1068, 2015

Inflammatory myofibroblastic tumor of renal pelvis presenting with iterative hematuria and abdominal pain: A case report. Oncology Letters 10(6): 3847-3849, 2015

A case of gross hematuria arising during embolization for renal arteriovenous malformation. Urologia Internationalis 58(1): 55-57, 1997

Gross hematuria caused by a congenital intrarenal arteriovenous malformation: a case report. Journal of Medical Case Reports 5: 510, 2011

Congenital renal arteriovenous fistula complicated with multiple renal arteries malformation: case analysis. Beijing Da Xue Xue Bao. Yi Xue Ban 50(4): 722-728, 2018

Congenital iliac arteriovenous malformation: a cause of massive hematuria and ureteral obstruction. Journal of Urology 139(2): 355-356, 1988

Congenital intrarenal arteriovenous malformation presenting with gross hematuria after endoscopic intervention: a case report. Journal of Medical Case Reports 2: 326, 2008

Arteriovenous malformation: the value of renal angiogrphy for a filling defect in the renal pelvis. Journal of Urology 114(4): 607-609, 1975

Arteriovenous Malformation: The Value of Renal Angiography for a Filling Defect in the Renal Pelvis. The Journal of Urology 114(4): 607-609, 1975

Congenital pelvic arteriovenous malformation with massive prostatic hemorrhage: a case report. Journal of Urology 141(2): 382-384, 1989

Application of Onyx for Renal Arteriovenous Malformation With First Case Report of a Renal Hyperdense Striation Sign: A CARE-Compliant Article. Medicine 94(39): E1658, 2015

Renal arteriovenous malformation with inferior vena caval extension mimicking renal cell carcinoma. Indian Journal of Urology 30(3): 357-359, 2014