Wide acquired arteriovenous fistula between
main renal artery and interlobar vein treated with
nephrectomy

• Authors: Tomislav Pejcic , Ilijas Cinara , Biljana Markovic , Jovan Hadzi-Djokic , Nemanja Menkovic , Radomir Naumovic
• Languages of publication: EN

Abstracts

EN

A case of renal arteriovenous fistula between
the main renal artery and interlobar vein diagnosed 25
years after percutaneous renal biopsy was presented. A
62-year-old female was referred to a urologist with dilatation
of the left renal pyelocalyceal system diagnosed after
abdominal ultrasonography, while intravenous urography
did not confirm that finding. Historically, she underwent
renal biopsy 25 years ago without any complication.
Her hypertension was well controlled during the last 10
years, although three antihypertensive drugs with occasional
additional diuretics were necessary during the last
6 months. Color Duplex Ultrasonography, arteriography
and Multi-Slice Computed Tomography revealed the presence
of renal arteriovenous fistula between the main renal
artery and interlobar vein, as well as severe dilatation of
all interlobar veins, renal, ovarian and adrenal vein on
the left side. Urological and vascular surgeons operated
to ligate the fistula and preserve the kidney. However, it
was not possible to reach the fistula inside the kidney and
nephrectomy was performed.

Keywords

EN

Renal arteriovenous fistula; Hypertension; Hematuria; Nephrectomy

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

online

11 - 11 - 2014

Contributors

author

Tomislav Pejcic

• Clinic of Urology, Clinical Center of Serbia, Belgrade,
  Serbia

author

Ilijas Cinara

• Clinic of Vascular and Endovascular Surgery, Clinical
  Center of Serbia, Belgrade, Serbia

author

Biljana Markovic

• Institute of Radiology, Clinical Center of Serbia,
  Belgrade, Serbia; School of Medicine, University of Belgrade

author

Jovan Hadzi-Djokic

• Serbian Academy of Sciences and Arts, Belgrade,
  Serbia

author

Nemanja Menkovic

• Institute of Radiology, Clinical Center of Serbia,
  Belgrade, Serbia; School of Medicine, University of Belgrade

author

Radomir Naumovic

• Clinic of Nephrology,
  Clinical Center of Serbia, Belgrade, Serbia, School of Medicine, University
  of Belgrade, Serbia

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Identifiers

DOI

10.1515/med-2015-0015