Embolisation of Bleeding Renal Angiomyolipoma in Pregnancy

Lim, Chin Hong; Mulvin, D.

doi:10.4236/oju.2011.13007

Cited by 7 publications

(15 citation statements)

References 7 publications

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“…They were first described in 1951 by Morgan et al 3,7,14 . Most of these tumors appear in the kidney (renal parenchyma), however these can be found in other locations, such as the spleen, liver, uterus and fallopian tubes 14 .…”

Section: Discussionmentioning

confidence: 99%

“…AMLs occur in 80% of the patients with TS 4,8,14,[18][19][20][21] . The majority of the cases occur at earlier ages, present bilateral distribution, are usually multiple, small (<2 cm), benign and asymptomatic 4,7,14 . These tend to grow faster when compared to the isolated type and often require earlier surgical treatment 3,4,7,14 .…”

Section: Discussionmentioning

confidence: 99%

“…As in most cases there are no symptomatic manifestations 1,2 , the AMLs are often diagnosed as incidentalomas 1,4 , however they may be related to severe symptoms [9][10][11][12] . The risk of spontaneous rupture associated with pregnancy is higher and can be catastrophic 5,7 . A conservative approach, with preservation of renal function by selective embolization or partial nephrectomy, is possible and preferable in most patients 2,4,5,13 .…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of renal AML is 0.3% in the general population and represents 3% of solid renal masses [1][2][3][4] , being even more infrequent during pregnancy 1,[4][5][6] . There are two known types of AML: the isolated angiomyolipoma, which represents 80% of cases, and the one associated with tuberous sclerosis (TS) 1,7,8 . In the first case, these masses are usually solitary, large and asymptomatic, and the mean age of diagnosis is 43 years 1,4,7 .…”

Section: Introductionmentioning

confidence: 99%

“…There are two known types of AML: the isolated angiomyolipoma, which represents 80% of cases, and the one associated with tuberous sclerosis (TS) 1,7,8 . In the first case, these masses are usually solitary, large and asymptomatic, and the mean age of diagnosis is 43 years 1,4,7 . When associated with TS are often multiple, bilateral and small, and hemorrhage is frequent 8 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Spontaneous rupture of renal angiomyolipoma during pregnancy

Santos¹,

Proença²,

Reis³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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Renal angiomyolipoma is a benign tumor, composed of adipocytes, smooth muscle cells and blood vessels. The association with pregnancy is rare and related with an increased risk of complications, including rupture with massive retroperitoneal hemorrhage. The follow-up is controversial because of the lack of known cases, but the priorities are: timely diagnosis in urgent cases and a conservative treatment when possible. The mode of delivery is not consensual and should be individualized to each case. We report a case of a pregnant woman with 18 weeks of gestation admitted in the emergency room with an acute right low back pain with no other symptoms. The diagnosis of rupture of renal angiomyolipoma was established by ultrasound and, due to hemodinamically stability, conservative treatment with imaging and clinical monitoring was chosen. At 35 weeks of gestation, it was performed elective cesarean section without complications for both mother and fetus. ResumoO angiomiolipoma é um tumor benigno, constituído por adipócitos, células de músculo liso e vasos sanguíneos. Sua associação com a gravidez é rara e está relacionada com um aumento de complicações, nomeadamente rotura com hemorragia retroperitoneal maciça. O follow-up é controverso em razão do escasso número de casos descritos, no entanto as prioridades são: diagnóstico atempado nas situações urgentes e, sempre que possível, tratamento conservador. O tipo de parto não é consensual e deve ser individualizado caso a caso. Relatamos um caso de uma grávida com 18 semanas de gestação que recorreu ao serviço de urgência por lombalgia direita aguda, sem outros sintomas relevantes. Diagnosticou-se ecograficamente rotura de angiomiolipoma renal e, em decorrência da estabilidade hemodinâmica do quadro, procedeu-se ao tratamento conservador com monitorização imagiológica e clínica. Às 35 semanas de gestação, realizou-se uma cesariana eletiva que decorreu sem complicações maternas ou fetais.

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Section: Discussionmentioning

confidence: 99%