Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Apr-Jun;13(2):177-179.
doi: 10.4103/UA.UA_24_20. Epub 2021 Apr 13.

Arteriovenous malformation of ureter presenting without hematuria: An unusual presentation of a rare disease

A G Yadunandan  1 , Narendra Pai  2 , Suraj Hegde  2 , T P Rajeev  2
Affiliations
Case Reports

Arteriovenous malformation of ureter presenting without hematuria: An unusual presentation of a rare disease

A G Yadunandan et al. Urol Ann. 2021 Apr-Jun.

Abstract

Genitourinary tract arteriovenous malformations are extremely rare. Most of the lesions are found either in the kidney or urinary bladder. So far, to the best of our knowledge, only five cases of arteriovenous malformation of the ureter have been reported in the literature. Here, we present, a young male, clinically presented with pain in the left flank with no other significant history. On radiological evaluation found to have left hydroureteronephrosis with stricture of the left distal ureter at the level of iliac vessel crossing. Urine routine, cytology, and cystoscopy were unremarkable. Left retrograde pyelogram showed distal ureteric stricture. Patient underwent excision of left distal ureteric stricture segment and ureteric reimplantation with psoas hitch. Histopathological examination revealed the features of arteriovenous malformation of the left ureter. The patient is asymptomatic and has no recurrence on follow-up until 12 weeks after surgery.

Keywords: Arteriovenous malformation; hematuria; ureteric reimplantation; ureteric stricture.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Computed tomography urogram showing dilated and tortuous left ureter with distal narrowing/stricture
Figure 2
Figure 2
(a and b) DTPA urogram
Figure 3
Figure 3
Retrograde pyelography of the left ureter showing distal ureteric narrowing
Figure 4
Figure 4
(a and b) Hematoxylin and eosin staining of the excised ureteric specimen
See this image and copyright information in PMC

References

    1. Varela ME. Aneurisma arteriovenosa de los vasos renales yasistolia consecutiva. Rev Med Latino-Amer. 1928;14:3244.
    1. Kaplan SA, Brown W, Bixon R, O’Toole K, Benson MC. Arteriovenous malformation of the ureter. Urology. 1992;40:450. - PubMed
    1. Tang CN, Law IC, Iu PP, Yip AW. Arteriovenous malformation of the ureter–a rare cause of haematuria. Br J Urol. 1997;80:500–1. - PubMed
    1. Sech SM, Saboorian MH, Ashfaq R, Somerville PJ, Pearle MS. Polypoid arteriovenous malformation of the ureter. J Urol. 1997;158:1903–4. - PubMed
    1. Ten Donkelaar CS, Houwert AC, Ten Kate FJW, Lock MTWT. Polypoid arteriovenous malformation of the ureter mimicking a fibroepithelial polyp, a case report. BMC Urol. 2017;17:55. - PMC - PubMed

Publication types