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Local recurrence of renal cell carcinoma that simulated multiple renal arteriovenous fistulas after laparoscopic partial nephrectomy: Report of a rare case
Authors:Ahmet Murat Aydin  Gonca Eldem  Bora Peynircioglu  Dilek Ertoy Baydar  Cenk Yucel Bilen
Affiliation:1. Department of Urology, Faculty of Medicine, Hacettepe University, Ankara, Turkey;2. Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey;3. Department of Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
Abstract:Herein we report a patient who was initially thought to have renal arteriovenous fistulas 3 months after laparoscopic partial nephrectomy for a small renal mass. After timely intervention using selective renal artery embolization, computed tomography 9 months post‐surgery showed persistent renal arteriovenous fistulas and nodular lesions in the perirenal fat. The patient then underwent radical nephrectomy, and histopathological examination showed underlying recurrent clear cell renal cell carcinoma invading the intraparenchymal arteries and veins, which was simulating multiple high‐flow renal arteriovenous fistulas.
Keywords:arteriovenous fistula  laparoscopic surgery  nephrectomy  renal cell carcinoma  therapeutic embolization
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