Renal arterial-pelvic fistula

Fay, Raymond; Brosman, Stanley A.; Lindstrom, Rabbe R.; Cohen, Arthur H.

doi:10.1016/0090-4295(73)90468-8

Cited by 2 publications

(5 citation statements)

References 4 publications

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“…the Nutcracker phenomenon, renal artery aneurysm, congenital renal AVM and acquired renal AVF), but a direct fistula between the renal artery and pelvis is rarely reported. To the best of our knowledge, only one direct fistula between a renal artery and the pelvis (APF) proven by angiography has been reported 1 and there have been only two reports of a direct fistula between a renal artery and calyces (arteriocalyceal fistula; ACF) 2 , 3 . All three of these cases were post‐traumatic lesions.…”

Section: Discussionmentioning

confidence: 99%

“…The definition of APF is ‘a fistula between the renal artery and pelvis proved by angiography’ 1 . The differential diagnoses of APF are AVF and hemangioma.…”

Section: Discussionmentioning

confidence: 99%

“…The therapy for renal APF generally involves one of the following procedures: surgical intervention, such as total nephrectomy, partial nephrectomy, ex vivo surgery and autotransplantation, or TAE with various agents. One case of post‐traumatic APF has been successfully treated by autotransplantation 1 . Two other cases of post‐traumatic ACF have also been successfully treated by TAE with a gelatine sponge 2 , 3 …”

Section: Discussionmentioning

confidence: 99%

“…The definition of APF is 'a fistula between the renal artery and pelvis proved by angiography'. 1 The differential diagnoses of APF are AVF and hemangioma. The differences between APF and AVF are lack of a nidus in APF and return to the vein in AVF.…”

Section: Discussionmentioning

confidence: 99%

“…One case of post-traumatic APF has been successfully treated by autotransplantation. 1 Two other cases of post-traumatic ACF have also been successfully treated by TAE with a gelatine sponge. 2,3 In our case, the degree of hematuria was mild and neither anemia nor hypotension were seen.…”

Section: Discussionmentioning

confidence: 99%

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Non‐traumatic renal arteriopelvic fistula

Shinojima¹,

Seki²,

Kumagai³

et al. 1999

Int J of Urology

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Purpose: In the present paper, we report on a 34-year-old female with macroscopic hematuria due to a nontraumatic renal arteriopelvic fistula (APF). The patient initially presented at another hospital with asymptomatic macroscopic hematuria. Following abdominal ultrasonography, computed tomography (CT) and laboratory data, no abnormal findings were seen. Therefore, the patient was referred to Teine Keijinkai Hospital for a more precise evaluation of the urinary tract and vascular abnormality. Methods/Results: Endoscopically, there was bleeding from the right ureteral orifice, so the patient was admitted for further examination. No abnormal findings were seen on urinary cytology and following an intravenous pyelogram. A selective right lower polar renal arteriogram revealed arterial extravasation directly into the pelvis before the venous phase, so APF of the kidney was diagnosed. The patient had no history of urinary tract trauma, so the APF was thought to be idiopathic. After transcatheter arterial embolization (TAE) with a gelatine sponge, macroscopic and microscopic hematuria disappeared and a low-density area was seen in the middle pole of the right kidney in an abdominal CT scan 4 days after TAE. This was thought to be renal infarction due to TAE. Conclusions: After discharge, the patient had no further hematuria.

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Section: Discussionmentioning

confidence: 99%

“…The definition of APF is ‘a fistula between the renal artery and pelvis proved by angiography’ 1 . The differential diagnoses of APF are AVF and hemangioma.…”

Section: Discussionmentioning

confidence: 99%