A Rare Case of Recurrent Hematuria from Right Kidney: Radiologic Diagnosis and Treatment | Zendy

Pietro Venetucci | Zendy; Mario Quarantelli | Zendy; Vittorio Iaccarino | Zendy

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A Rare Case of Recurrent Hematuria from Right Kidney: Radiologic Diagnosis and Treatment

Author(s) -

Pietro Venetucci,

Mario Quarantelli,

Vittorio Iaccarino

Publication year - 2011

Publication title -

isrn urology

Language(s) - English

Resource type - Journals

eISSN - 2090-5815

pISSN - 2090-5807

DOI - 10.5402/2011/159104

Subject(s) - medicine , varicocele , lumbar , radiology , pelvic pain , surgery , ureter , pregnancy , infertility , genetics , biology

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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