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Loin Pain and Haematuria in Young Women: Diagnostic Pitfalls
Author(s) -
NICHOLLS A. J.,
MUIRHEAD N.,
EDWARD N.,
MAHAFFY R. G.,
SIMPSON J. G.,
STEYN J. H.
Publication year - 1982
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1982.tb06959.x
Subject(s) - medicine , cystoscopy , biopsy , intravenous urography , renal biopsy , surgery , pyelogram , radiology , ureter , loin , urinary system , anatomy
Summary— Cystoscopy, intravenous urography and urine culture frequently fail to reveal the cause of loin pain and haematuria in young women. Two such women are presented in whom renal biopsy was not only unhelpful but also misleading. Subsequent renal arteriography showed arteriovenous fistulae which were considered erroneously to be the cause of the symptoms in both patients; in fact the fistulae were traumatic post‐biopsy fistulae rather than congenital malformations. These patients were probably examples of the “loin‐paidhaernaturia syndrome” which is thought to have a vascular basis and may have predisposed to the formation of fistulae.

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