[Spontaneous rupture of an aneurysmal arteriovenous fistula of the kidney causing massive retroperitoneal hemorrhage: a case report].
Angiography depicted the arteriovenous fistula at the peripheral cortex of the kidney, which was treated superselective transcatheter arterial embolization (TAE). Bleeding was controlled and did not recur. The contrast-enhanced computed tomographic (CT) scan performed on the 27th day after the procedure revealed a parenchymal perfusion deficit of 3% and the return of serum creatinine concentration to pre-injury levels. We considered the selective coil embolization as the best treatment for the aneurysmal arteriovenous fistula located in the renal cortex to keep ischemic damage at a minimum and preserve renal function. To our knowledge, this is the 4th report of a spontaneous rupture in the retroperitoneum of an aneurysmal arteriovenous fistula.
Department of Urology, Toyota Kariya General Hospital.
Minako
M
Hagikura
Noriko
N
Okamoto
Kuniaki
K
Tanaka
Hitoshi
H
Tomita
Masaru
M
Mizutani
D000783:Aneurysm / Q000150:complications*; D001164:Arteriovenous Fistula / Q000150:complications* / Q000628:therapy; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007672:Kidney Cortex / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous