Ali Mazhar, Aziz Wajahat, Abbas Farhat
Department of Surgery, Section Urology, Aga Khan University, Karachi, Pakistan.
BMJ Case Rep. 2013 Jul 17;2013:bcr2013010374. doi: 10.1136/bcr-2013-010374.
A 54-year-old woman presented with gross painless haematuria. Initial workup showed no abnormality except mild hydronephrosis on CT scan. Cystoscopy and retrograde pyelography did not find any gross lesion and her urine cytology was also negative. She had recurrent haematuria so her CT was reviewed with the radiologist with clinical suspicion of arteriovenous malformation (AVM) which was suggested by relatively increased contrast density in the hemiazygous vein and renal vein in the arterial phase. She underwent angioembiolisation of left renal AVM after which her haematuria settled.
一名54岁女性出现无痛性肉眼血尿。初步检查除CT扫描显示轻度肾积水外无异常。膀胱镜检查和逆行肾盂造影未发现任何明显病变,其尿液细胞学检查也为阴性。她反复出现血尿,因此放射科医生重新查看了她的CT,临床怀疑为动静脉畸形(AVM),动脉期半奇静脉和肾静脉内造影剂密度相对增加提示了这一点。她接受了左肾AVM血管栓塞术,术后血尿消失。