Kubota Hiroki, Sakagami Hiroshi, Kubota Yasue, Sasaki Shoichi, Umemoto Yukihiro, Kohri Kenjiro
Department of Urology, Kousei Hospital, Anjyou and Nagoya City University Medical School, Nagoya, Japan.
Int J Urol. 2003 Oct;10(10):547-9. doi: 10.1046/j.1442-2042.2003.00683.x.
We describe herein a case of complete spontaneous disappearance of a congenital arteriovenous malformation (AVM). A 28-year-old male was hospitalized for right flank pain and gross hematuria, followed by bladder tamponade. To improve the patient's symptoms, bladder irrigation was performed. Cystoscopy demonstrated bloody urine from the right ureteral orifice. Right selective renal arteriography demonstrated tortuous, coiled vascular channels with early filling of the renal vein. Thus, right renal AVM was diagnosed. However, the patient refused further treatment and was discharged. One year later, massive hematuria recurred with bladder tamponade and the patient was rehospitalized. Renal arteriography did not show any evidence of AVM and there has been no hematuria since.
我们在此描述一例先天性动静脉畸形（AVM）完全自发消失的病例。一名28岁男性因右侧腰痛和肉眼血尿住院，随后出现膀胱填塞。为改善患者症状，进行了膀胱冲洗。膀胱镜检查显示右侧输尿管口有血尿。右侧选择性肾动脉造影显示血管迂曲、盘绕，肾静脉早期充盈。因此，诊断为右肾AVM。然而，患者拒绝进一步治疗并出院。一年后，大量血尿复发并伴有膀胱填塞，患者再次住院。肾动脉造影未显示AVM的任何迹象，此后也未再出现血尿。
