A rare case of recurrent hematuria from right kidney: radiologic diagnosis and treatment.

ISRN urology Pub Date : 2011-01-01 Epub Date: 2011-07-19 DOI:10.5402/2011/159104
Pietro Venetucci, Mario Quarantelli, Vittorio Iaccarino
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引用次数: 3

Abstract

We report the case of a young woman admitted because of several and recurring episodes of macroscopic hematuria beginned after her first pregnancy. Contrast-enhanced multidetector computed tomography images showed dilated ovarian veins due to a typical pelvic varicocele. We supposed to be a right ovarian vein syndrome, a rare clinical situation characterized by an anomalous compression of the lumbar ureter by the ectasic ovarian vein; this condition may cause a chronic inflammatory stimulus above the urothelial mucosa with a following hematuria. All symptoms were solved by an endovascular treatment through the sclero-embolisation of the pelvic varicocele. After eighteen months the patient didn't present hematuria anymore and she no longer complained about her right side lumbar pain.

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罕见右肾复发性血尿1例:影像学诊断与治疗。
我们报告的情况下,一个年轻的妇女入院,因为几个和反复发作的宏观血尿开始后,她的第一次怀孕。对比增强的多探测器计算机断层扫描图像显示典型的盆腔精索静脉曲张引起的卵巢静脉扩张。我们认为是右卵巢静脉综合征,一种罕见的临床情况,其特点是异常压迫腰输尿管由扩张卵巢静脉;这种情况可引起尿路上皮黏膜上方的慢性炎症刺激,并伴有血尿。所有症状均通过盆腔精索静脉曲张硬化栓塞血管内治疗得到解决。18个月后,患者不再出现血尿,也不再抱怨右侧腰痛。
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