2025 · UROLOGY CASE REPORTS

Symptomatic renal arteriovenous malformation before and after rupture --endovascular and surgical approach

Meunier-Geleng, Lisa, Choffel, Loic, Simon, Gabriel, Frontczak, Alexandre, Kleinclauss, Francois

Journal
UROLOGY CASE REPORTS
Année
2025
Volume
61
Article
103106
Mois
JUL
DOI
10.1016/j.eucr.2025.103106

Abstract

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.

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