2020, Number 2
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RCU 2020; 9 (2)
Arteriovenous and renal pelvis fistula after nephrectomy
Villavicencio AHJ, Leyva CMÁ, Tallet GL, Robaina RG
Language: Spanish
References: 15
Page: 74-80
PDF size: 997.57 Kb.
ABSTRACT
An arteriovenous fistula is an abnormal communication, without passing through the capillary bed,
between an artery and a vein. It is rare the formation of renal arteriovenous fistulas after a nephrectomy.
In this regard, the aim of this article is to assess the diagnostic and therapeutic approach to be followed
with a case of post-nephrectomy arteriovenous and renal pelvis fistula. The diagnosis of the 26 years old
male patient was suspected by the urologic and cardiovascular symptoms, as well as by the history and
physical examination findings. The diagnosis was confirmed with imaging studies. A strong suspicion
involved performing a renal echo Doppler and then an arteriography as a confirmation diagnostic method.
It was proposed conventional surgical treatment with ligation of the renal artery and the renal vein
separately because he did not meet the criteria for supraselective embolization.
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