Tabei Tadashi, Tajirika Hironao, Yoshigi Jun, Kobayashi Kazuki
Department of Urology, Yokosuka Kyosai Hospital, Kanagawa, Japan.
Department of Radiology, Yokosuka Kyosai Hospital, Kanagawa, Japan.
Case Rep Urol. 2017;2017:2376034. doi: 10.1155/2017/2376034. Epub 2017 Jan 31.
An 84-year-old woman was referred to our department due to gross hematuria. Enhanced computed tomography revealed early enhancement of the right renal vein and multiple tortuous vessels around the right renal hilus, part of which had invaded into the renal parenchyma and renal calix. We diagnosed her with arteriovenous malformations (AVMs) and performed transcatheter arterial embolization (TAE). Angiography showed extensive and complex AVMs located in the central and peripheral areas of her kidney. After TAE, the hematuria resolved and she became hemodynamically stable.
一名84岁女性因肉眼血尿被转诊至我科。增强计算机断层扫描显示右肾静脉早期强化,右肾门周围有多个迂曲血管,部分血管已侵入肾实质和肾盏。我们诊断她患有动静脉畸形(AVM)并进行了经导管动脉栓塞术(TAE)。血管造影显示广泛而复杂的AVM位于她肾脏的中央和周边区域。TAE术后,血尿消失,她的血流动力学变得稳定。