Table of Contents
ISRN Urology
Volume 2011 (2011), Article ID 159104, 5 pages
http://dx.doi.org/10.5402/2011/159104
Case Report

A Rare Case of Recurrent Hematuria from Right Kidney: Radiologic Diagnosis and Treatment

Dipartimento Assistenziale di Diagnostica per Immagini, Sezione di Radiologia Cardiovascolare ed Interventistica, Università degli Studi di Napoli, A.O.U. Policlinico “Federico II”, Via Pansini, 5-80131, Napoli, Italy

Received 12 January 2011; Accepted 21 February 2011

Academic Editor: K.-H. Huang

Copyright © 2011 Pietro Venetucci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of a young woman admitted because of several and recurring episodes of macroscopic hematuria beginned after her first pregnancy. Contrast-enhanced multidetector computed tomography images showed dilated ovarian veins due to a typical pelvic varicocele. We supposed to be a right ovarian vein syndrome, a rare clinical situation characterized by an anomalous compression of the lumbar ureter by the ectasic ovarian vein; this condition may cause a chronic inflammatory stimulus above the urothelial mucosa with a following hematuria. All symptoms were solved by an endovascular treatment through the sclero-embolisation of the pelvic varicocele. After eighteen months the patient didn't present hematuria anymore and she no longer complained about her right side lumbar pain.