Kember P G, Peck R J
Department of Diagnostic Imaging, Royal Hallamshire Hospital, Sheffield, South Yorkshire, United Kingdom.
J Clin Ultrasound. 1998 Feb;26(2):95-7. doi: 10.1002/(sici)1097-0096(199802)26:2<95::aid-jcu8>3.0.co;2-d.
Color and spectral Doppler sonography revealed that a patient believed to have hydronephrosis actually had a renal arteriovenous malformation. Although rare, such a misdiagnosis could have serious implications. In the case described here, there was a coexisting carcinoma of the colon, which required staging and could have led to complications for percutaneous intervention. This case illustrates that color Doppler sonography can be used to establish a diagnosis of arteriovenous malformation.