[Post-traumatic renal arteriovenous fistula. Conservative treatment with superselective embolization].
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.


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.
Gómez Pascual
José Angel
JA
Servicio de Urología, Complejo Hospitalario Carlos Haya, Pabellón C (Hospital Civil), Málaga, España.
Chicharro Molero
José Antonio
JA
Bonilla Parrilla
Ramón
R
Alvarado Rodríguez
Alejandro
A
Ruiz Díaz
Mónica
M
Del Rosal Samaniego
José María
JM
Baena González
Víctor
V
D000328:Adult; D000437:Alcoholism / Q000150:complications; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004617:Embolism / Q000150:complications / Q000188:drug therapy; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000150:complications; D006417:Hematuria / Q000209:etiology; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007813:Laparotomy; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D010180:Pancreatectomy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications; D012077:Renal Artery / Q000293:injuries*; D012082:Renal Veins / Q000293:injuries*; D013156:Splenectomy; D014463:Ultrasonography; D014781:Viscera / Q000293:injuries; D014951:Wounds, Stab / Q000150:complications*
D010975:Platelet Aggregation Inhibitors