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[Vascular anomalies of the kidney. Apropos of 3 cases]

E Taib, P Michelon, B Marchetti

    Journal D'Urologie
    |January 1, 1987
    PubMed

    Insights

    Rare kidney vascular lesions, including renal angioma and post-infective aneurysm, were diagnosed after severe hemorrhage. Both patients required nephrectomy for treatment, highlighting the importance of histopathology for accurate diagnosis.

    Area of Science:

    • Nephrology
    • Vascular Surgery
    • Pathology

    Background:

    • Vascular lesions of the kidney are uncommon and can present with severe clinical manifestations.
    • Acquired aneurysms, particularly following infective endocarditis, represent a rare etiology for renal pathology.

    Observation:

    • Two distinct cases of rare renal vascular lesions are presented: a renal angioma and an acquired aneurysm secondary to endocarditis.
    • Both vascular lesions were identified following episodes of significant renal hemorrhage.
    • Nephrectomy was the surgical intervention performed for both patients due to the severity of the condition.

    Findings:

    • Histopathological examination was crucial for establishing the definitive diagnosis of the renal vascular lesions.
    • The case of aneurysm was specifically linked to a history of oster type endocarditis, indicating an acquired etiology.

    Implications:

    • These cases underscore the diagnostic challenges and management strategies for rare renal vascular pathologies.
    • Accurate histopathological analysis is paramount for differentiating and managing these uncommon renal conditions.
    • Reviewing relevant literature aids in understanding the epidemiology and clinical course of such rare vascular lesions.

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