Color and spectral Doppler sonography revealed that a patient believed
to have hydronephrosis actually had a renal arteriovenous malformatio
n. Although rare, such a misdiagnosis could have serious implications.
In the case described here, there was a coexisting carcinoma of the c
olon, which required staging and could have led to complications for p
ercutaneous intervention. This case illustrates that color Doppler son
ography can be used to establish a diagnosis of arteriovenous malforma
tion. (C) 1998 John Wiley & Sons, Inc.