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Renal arteriovenous fistula simulating hydronephrosis: A case report
Journal of Ultrasound
|February 12, 2013
Summary
Color Doppler ultrasound is crucial for diagnosing acquired renal arteriovenous fistulas (AVFs), especially in patients with a history of renal biopsy. This imaging technique aids in identifying these common renovascular malformations.
Area of Science:
- Nephrology
- Radiology
- Vascular Surgery
Background:
- Acquired renal arteriovenous fistulas (AVFs) are a known complication, particularly following renal biopsy.
- Renovascular malformations, including AVFs, are frequently diagnosed.
Purpose of the Study:
- To highlight the diagnostic utility of color Doppler ultrasound in suspected obstructive uropathy.
- To emphasize the importance of considering AVFs in patients with a history of renal biopsy.
Main Methods:
- Case report of a woman with hypertension, microhematuria, and proteinuria.
- Renal sonography with color Doppler and spectral analysis to evaluate suspected hydronephrosis.
- Selective renal angiography to confirm the diagnosis of renal arteriovenous fistula with pseudoaneurysm.
Main Results:
- Sonography revealed an anechoic area suggestive of hydronephrosis with turbulent, high-velocity arterial flow.
- Color Doppler demonstrated arterialization of the venous waveform.
- Renal angiography confirmed a middle renal AVF with pseudoaneurysm, attributed to a prior renal biopsy.
Conclusions:
- Color Doppler ultrasound is vital for diagnosing renal arteriovenous fistulas when obstructive uropathy is suspected.
- This case underscores the significance of Doppler ultrasound in patients with a history of renal biopsy presenting with urinary tract abnormalities.
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