Varicocele due to renal arteriovenous malformation mimicking a renal tumor: a case report
| Autor: | Yan-yan Xiu, Hai-Bin Shi, Ninghong Song, Sheng Liu, Peng-chao Li, Jin-Guo Xia, Jiayi Zhang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Computed Tomography Angiography medicine.medical_treatment Varicocele Digital subtraction angiography lcsh:Medicine Case Report 030204 cardiovascular system & hematology urologic and male genital diseases Renal Veins 030218 nuclear medicine & medical imaging Arteriovenous Malformations Diagnosis Differential 03 medical and health sciences Renal Artery 0302 clinical medicine medicine.artery Humans Medicine Embolization Renal artery Vein Ultrasonography medicine.diagnostic_test business.industry Arterial Embolization lcsh:R General Medicine Middle Aged medicine.disease Embolization Therapeutic Kidney Neoplasms Nephrectomy medicine.anatomical_structure Radiology Differential diagnosis business |
| Zdroj: | Journal of Medical Case Reports Journal of Medical Case Reports, Vol 12, Iss 1, Pp 1-5 (2018) |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-017-1546-2 |
| Popis: | Background Renal arteriovenous malformation is an aberrant vascular connection between the renal artery and vein. Acquired renal arteriovenous malformation (arteriovenous fistulae) accounts for approximately 70% of renal arteriovenous abnormalities. Congenital renal arteriovenous malformation, relatively rare, can result in significant hematuria which may require arterial embolization or nephrectomy. Case presentation A 64-year-old Asian man presented to the Urology department in our hospital with gradual left scrotal swelling for 2 years. Ultrasound and computed tomography showed an irregular mass in the upper pole of his left kidney. Digital subtraction angiography confirmed cirsoid-type left renal arteriovenous malformation combined with left renal vein ostial stenosis. After digital subtraction angiography and selective segmental renal artery embolization, the varicocele was obviously alleviated. Conclusions The etiology diagnosis of varicocele is not always straightforward, and renal arteriovenous malformation should be considered in the differential diagnosis of varicocele and renal mass. Renal arteriovenous malformation is difficult to distinguish from renal tumor according to varicocele and computed tomography presentation, while magnetic resonance imaging and digital subtraction angiography help to make a definite diagnosis and selective renal angiographic embolization is one of the best treatments for renal arteriovenous malformation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |