Primus H, Samtleben M, Schmitt E
Klinik für Urologie, Kreiskliniken Aschersleben-Strassfurt GmbH, Aschersleben.
Urologe A. 2007 Apr;46(4):412-5. doi: 10.1007/s00120-006-1265-6.
Arteriovenous malformations are important but uncommon differential diagnoses for space occupying renal lesions with unknown genesis. In the following case report, a 41-year-old patient complained about continuing right flank pain. Computer tomography indicated a possible renal cell carcinoma and the patient was admitted to our clinic. Further diagnostics, including contrast medium-enhanced bolus CT, colour coded duplex sonography, renovasography and MR-angiography, revealed a large arteriovenous fistula of the entire right kidney. Because of the size and aneurysmatic appearance of this fistula, we performed a nephrectomy. Since this operation the patient has been free of complaints.
动静脉畸形是病因不明的肾脏占位性病变的重要但不常见的鉴别诊断。在以下病例报告中,一名41岁患者主诉持续性右侧腰痛。计算机断层扫描显示可能为肾细胞癌,该患者被收治入我院。进一步诊断,包括造影剂增强团注CT、彩色编码双功超声、肾血管造影和磁共振血管造影,发现整个右肾存在一个大的动静脉瘘。由于该瘘管的大小和动脉瘤样外观,我们实施了肾切除术。自该手术后,患者已无不适主诉。