Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach
Renal arteriovenous malformations are rare, with significant challenges in management due to their high-flow nature and potential serious complications. We present a case of a 78-year-old female with no significant medical history, who presented with hematuria and right-sided lumbar pain. Imaging re...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001779 |
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| author | Lisa Meunier-Geleng Loic Choffel Gabriel Simon Alexandre Frontczak François Kleinclauss |
| author_facet | Lisa Meunier-Geleng Loic Choffel Gabriel Simon Alexandre Frontczak François Kleinclauss |
| author_sort | Lisa Meunier-Geleng |
| collection | DOAJ |
| description | Renal arteriovenous malformations are rare, with significant challenges in management due to their high-flow nature and potential serious complications. We present a case of a 78-year-old female with no significant medical history, who presented with hematuria and right-sided lumbar pain. Imaging revealed a large right renal arteriovenous malformation. Due the size and the location, a surgical approach by right nephrectomy rather than endovascular therapy was decided. Prior to surgery, the renal arteriovenous malformation ruptured into the renal excretory cavities, with a retroperitoneal aneurysm causing a large hematoma and hematuria. Emergency embolization was performed, followed by a nephrectomy the next day. |
| format | Article |
| id | doaj-art-d762247bae664280960e6c6efa2ee6d5 |
| institution | DOAJ |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-d762247bae664280960e6c6efa2ee6d52025-08-20T02:48:07ZengElsevierUrology Case Reports2214-44202025-07-016110310610.1016/j.eucr.2025.103106Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approachLisa Meunier-Geleng0Loic Choffel1Gabriel Simon2Alexandre Frontczak3François Kleinclauss4Urology Department, University Hospital Center of Besançon, 3, Boulevard Fleming, Besançon, 25000, France; University of Franche-Comte, Besançon, France; Corresponding author. Urology Department, University Hospital Center of Besançon, 3 Boulevard Fleming, Besançon, 25000, FranceDepartment of Radiology, University Hospital of Besançon, 25030 Besançon, FranceDepartment of Radiology, University Hospital of Besançon, 25030 Besançon, FranceUniversity of Franche-Comte, Besançon, France; Department of Radiology, University Hospital of Besançon, 25030 Besançon, FranceUrology Department, University Hospital Center of Besançon, 3, Boulevard Fleming, Besançon, 25000, France; University of Franche-Comte, Besançon, France; Department of Radiology, University Hospital of Besançon, 25030 Besançon, FranceRenal arteriovenous malformations are rare, with significant challenges in management due to their high-flow nature and potential serious complications. We present a case of a 78-year-old female with no significant medical history, who presented with hematuria and right-sided lumbar pain. Imaging revealed a large right renal arteriovenous malformation. Due the size and the location, a surgical approach by right nephrectomy rather than endovascular therapy was decided. Prior to surgery, the renal arteriovenous malformation ruptured into the renal excretory cavities, with a retroperitoneal aneurysm causing a large hematoma and hematuria. Emergency embolization was performed, followed by a nephrectomy the next day.http://www.sciencedirect.com/science/article/pii/S2214442025001779Renal arteriovenous malformationsRuptureEndovascular embolizationNephrectomy |
| spellingShingle | Lisa Meunier-Geleng Loic Choffel Gabriel Simon Alexandre Frontczak François Kleinclauss Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach Urology Case Reports Renal arteriovenous malformations Rupture Endovascular embolization Nephrectomy |
| title | Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach |
| title_full | Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach |
| title_fullStr | Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach |
| title_full_unstemmed | Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach |
| title_short | Symptomatic renal arteriovenous malformation before and after rupture -- endovascular and surgical approach |
| title_sort | symptomatic renal arteriovenous malformation before and after rupture endovascular and surgical approach |
| topic | Renal arteriovenous malformations Rupture Endovascular embolization Nephrectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025001779 |
| work_keys_str_mv | AT lisameuniergeleng symptomaticrenalarteriovenousmalformationbeforeandafterruptureendovascularandsurgicalapproach AT loicchoffel symptomaticrenalarteriovenousmalformationbeforeandafterruptureendovascularandsurgicalapproach AT gabrielsimon symptomaticrenalarteriovenousmalformationbeforeandafterruptureendovascularandsurgicalapproach AT alexandrefrontczak symptomaticrenalarteriovenousmalformationbeforeandafterruptureendovascularandsurgicalapproach AT francoiskleinclauss symptomaticrenalarteriovenousmalformationbeforeandafterruptureendovascularandsurgicalapproach |