Unilateral renal lesion that may result in hypertension

GAMUT

Unilateral

Renal

Lesion

That Michael

I. Lesion of renal artery or its branches (A) Aneurysm (B) Arteritis (eg, syphilis, polyarteritis nodosa, thromboangiitis obliterans, rubella, idiopathic) (C) Atherosclerosis (D) Congenital narrowing (E) Dissection (F) Extrinsic compression by aortic aneurysm (cl) Fibromuscular dysplasia (H) Fibrous or muscular bands (from crux of diaphragm or psoas muscle) (I) Neurofibromatosis (J) Perivascular fibrosis or subcapsular hemorrhage secondary to trauma (K) Thrombosis or embolism 2. Renal parenchymal disease (A) Cyst (B) Obstructive uropathy (C) Pyelonephritis (D) Radiation nephritis (E) Tumor (carcinoma, sarcoma, Wilms, metastatic)

Semnws

m Roenigenology,

Vol. XVI,

No. 2 (April),

198 1

May

Result

in Hypertension

L. Streiter

3. Renal vein thrombosis 4. Ptosis of the kidney REFERENCES

of

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the Department

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ology, University of Cincinnati Reprint requests should

College of Medicine. be addressed to Mirhael

Slreiter, M.D.. University nati General Division. Ohio 45267. 6 1981 by Prune

Residenr.

of

234

& Stratton.

Cincinnali Goodman

Division,

of Cincin-

nati Hospitals. Cincinnatr Ohio. Michael L. Streiter, M.D.:

Departmenr

Hospitals, Street,

(‘itwinnari. of RadiL.

CincinCincinnati.

Inc.

75

76

MICHAEL

L. STREITER

Fig. 1. A 35yr-old female with high renin hypertension 3 mo following renal biopsy. Right renal arteriogram shows a pseudoaneurysm (straight arrow) end arteriovenous fistula with early filling of the renal vein and inferior vena cava (curved arrow).

Fig. 2. Arteriogram of the which supplies the arteriovenous theter embolization was performed

Fig. 3. Renal arteriogram following embolization shows complete occlusion of the arteriovenous fistule (arrow). The hypertension disappeared.

right lower pole artery, fistula (arrow). Transcain this position.