Addo Eric A, Emtage Justin, Massis Kamal, Hernandez David J
University of South Florida, 2 Tampa General Circle, STC 7028, Tampa, FL 33606, USA.
University of South Florida, 2 Tampa General Circle, STC 6, Tampa, FL 33606, USA.
Urol Case Rep. 2015 Aug 18;3(6):181-4. doi: 10.1016/j.eucr.2015.07.004. eCollection 2015 Nov.
A 21-year-old male with a history of Down's syndrome presented with hematuria and right flank pain. Computed Tomography (CT) of the abdomen/pelvis revealed right hydronephrosis and a right-sided pelvic vascular abnormality. Angiography revealed an arteriovenous malformation (AVM) fed by the right superior and inferior vesical arteries and nephrostogram showed a long segment of obstructed distal right ureter. Cystoscopy revealed erythema and edema of the right hemi-bladder and biopsy diagnosed polypoid cystitis. Treatment was performed by transarterial embolization with ethylene vinyl alcohol copolymer. Follow up cystoscopy and retrograde pyelography at 3 months post-procedure showed resolution of all visible pathology.
一名患有唐氏综合征的21岁男性出现血尿和右侧胁腹疼痛。腹部/盆腔计算机断层扫描（CT）显示右肾积水和右侧盆腔血管异常。血管造影显示由右侧膀胱上下动脉供血的动静脉畸形（AVM），肾造影片显示右侧输尿管远端有一段长段梗阻。膀胱镜检查显示右半膀胱红斑和水肿，活检诊断为息肉样膀胱炎。采用乙烯乙烯醇共聚物经动脉栓塞治疗。术后3个月的随访膀胱镜检查和逆行肾盂造影显示所有可见病变均已消退。
