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Sunday, 8 November 2015

CASE 345: LEFT RENAL VENOUS ANEURYSM, Dr NGUYỄN NGHIỆP VĂN-Dr VÕ NGUYỄN THÀNH NHÂN,MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Female 27yo from Baclieu province, suffered from left side lumbago, which was getting worse in effort
No history of trauma. Entered 121 hospital,  Cantho hospital but status not changing then went to Medic
Center






Sonologist said left kidney AVM which caused left renal vein dilatation of 48mm in diameter.
MSCT with CE was done that IVC appeared early with taken CE of aorta and presented a huge renal vein on left side.



DISCUSSIONS

      Left renal vein aneurysm presented commonly on left side, and true renal vein aneurysm ( absence of media tunica) which was rare, from now on about 10 cases in literature.
      Etiology of aneurysm of left renal vein : hypertrophy of the tunica media with fibrotic thickening) : AVM ( post trauma, RCC ), intrarenal AVM, AVM of aorta and renal vein (in case of renal vein behind AAA).
For prevention of lung venous embolism, rupture of aneuysm... patient was repaired in Cho Ray left renal AVM by coiling and getting well .


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Left venous aneurysm disappeared totally post op.

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