World Journal of Case Reports

A Case Report | Open Access

Volume 2024 - 3 | Article ID 243 | http://dx.doi.org/10.51521/WJCRCI.2024.31-225

Renal Arteriovenous Fistulas during Pregnancy: Diagnosis and Treatment

Academic Editor: John Bose

  • Received 2024-01-21
  • Revised 2024-02-29
  • Accepted 2024-03-05
  • Published 2024-03-08

Martina Bruniera1, Fabio Zattoni1, Giancarlo Bombonato2, AlbertoPonzoni3, Alessandro Morlacco1, Giacomo Novara1, Fabrizio Dal Moro1.

1Urology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

2Internal Medicine 5, Department of Medicine, DIMED, University of Padua, 35128 Padua, Italy.

3Department of Radiology, Padova General Hospital, 35121 Padova, Italy.

 

Corresponding author: Fabio Zattoni (Via Giustiniani n°2 35126 Padova (PD) Italy); Email: fabio.zattoni@unipd.it; Ph+393389103376


Citation: Martina Bruniera, Fabio    Zattoni, Giancarlo Bombonato, Alberto Ponzoni, Alessandro Morlacco, Giacomo Novara, Fabrizio Dal Moro. (2024). Renal Arteriovenous Fistulas during Pregnancy: Diagnosis and Treatment. World J Case Rep Clin Imag. 2024 January; 3(1)1-4.

Copyrights © 2024, Fabio      Zattoni, et al. This article is licensed under the Creative Commons Attribution-Non-Commercial-4.0-International-License-(CCBY-NC) (https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and distribution for commercial purposes require written permission.

ABSTRACT

A pregnant patient presented to the emergency-room with macrohematuria, and flank pain caused by a right lumbar ureter stone. Despite medical therapy, persistent macrohematuria and pain prompted the placement of a DJ stent and a catheter nephrostomy, but hemoglobin levels continued to decrease. Doppler ultrasound revealed a arteriovenous fistula. Following an initial conservative approach, the patient underwent fistula embolization, resulting in the successful closure of the fistula. The patient remained stable, and after 70 days, the baby was born. This case highlights the rare occurrence of arteriovenous fistula during pregnancy and the importance of individualized treatment based on the patient clinical condition.


KEYWORDS: Urology; Pediatric; Pregnancy; Fistula; Embolization.

 

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