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[Post-traumatic renal arteriovenous fistula. Conservative treatment with superselective embolization]
José Angel Gómez Pascual1, José Antonio Chicharro Molero, Ramón Bonilla Parrilla
1Servicio de Urología, Complejo Hospitalario Carlos Haya, Pabellón C (Hospital Civil), Málaga, España.
Objective:
Renal arterial-venous fistula is a low incidence clinical entity generally secondary to processes invasive to such organ. We report a new case with a bibliographic review, and evaluate the diagnostic and therapeutic approach.
Methods/Results:
We report the case of a patient who suffered a left flank knife wound and developed an arterial-venous fistula presenting with hematuria that was solved by selective embolization.
Conclusions:
Arterial-venous fistula is a low incidence entity, usually secondary to renal trauma (open or blunt) and invasive processes. Renal Doppler-Ultrasound is the initial diagnostic procedure when its diagnosis is strongly suspected and then angiography is both confirmatory and therapeutic.