1981 Volume 72 Issue 3 Pages 322-331
The various causes of intrarenal arteriovenous fistulas are considered. The major clinical manifestations are circulatory disorders, such as diastolic hypertension or cardiac decompensation, and urological signs, such as hematuria. Recent advances in angiography contribute to the increased frequency of detection of these lesions.
The purpose of this paper is presentation and discussion of 5 cases with different causes, which are cirsoid aneurysm, trauma, inflammation (tuberculosis) and 2 tumors.
Hypertension was seen in 3 patients and gross hematuria in 4. Two cases of renal cell carcinoma were nephrectomized. Of 3 instances with benign lesions nephrectomy was performed in 2 and partial nephrectomy in the third case associated with tuberculosis.
A-V fistula associated with the renal tuberculosis (case 5; Fig. 10, 11, 12) is rarely encountered. As far as we know no such case has been previously reported.
