Renal angiomyolipoma rupture in a young female with COVID-19

Young, Jocelyn; Kalczynski, Jeffrey; Emerling, Alec; Bianchi, William

doi:10.1016/j.ajem.2021.02.012

Cited by 4 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 5 Non-tumour-related risk factors include coagulopathic states, and the COVID-19, as noted in a recent case report. 6 On literature review, there does not appear to be an increased risk of AML in patients with transplanted kidneys.…”

Section: Discussionmentioning

confidence: 99%

“…One literature review determined that mean gestational age for AML rupture in pregnant patients is approximately 27.7 weeks 5. Non-tumour-related risk factors include coagulopathic states, and the COVID-19, as noted in a recent case report 6. On literature review, there does not appear to be an increased risk of AML in patients with transplanted kidneys.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ruptured angiomyolipoma, a novel entity for emergency physicians in the differential diagnosis of haemorrhagic shock in a female patient of reproductive age

Sapadin

Girzadas²,

Chhabra³

et al. 2022

BMJ Case Rep

View full text Add to dashboard Cite

A woman in her 30s presented to the emergency department with acute onset, progressively worsening left-sided abdominal pain after exercise. She was found to be hypotensive and diaphoretic, with free intraperitoneal fluid detected on bedside point-of-care ultrasound. Resuscitation was initiated, a presumptive diagnosis of ruptured ectopic pregnancy was made, and obstetrics and gynaecology were consulted. Point-of-care urine pregnancy testing, however, was negative, and subsequent CT angiography of the patient’s abdomen revealed an angiomyolipoma (AML) with active haemorrhage. Ultimately, embolisation was performed in the interventional radiology suite, with improvement of patient haemodynamics. Ruptured AML is a rare, life-threatening condition that needs to be included in the differential diagnosis of haemorrhagic shock in female patients of reproductive age presenting to the emergency department.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ruptured angiomyolipoma, a novel entity for emergency physicians in the differential diagnosis of haemorrhagic shock in a female patient of reproductive age

Sapadin

Girzadas²,

Chhabra³

et al. 2022

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…AML rupture is caused by factors related to the tumour, such as intratumor aneurysms that are larger than 4 cm, those that are linked to tuberous sclerosis complex or lymphangioleiomyomatosis, and those that are larger than 5 mm [9,10]. As a result of physiological changes that lead to tumour and aneurysm growth, pregnancy also raises the risk of rupture [11]. AML rupture is also at risk from nontumour-related causes, including coagulopathy and coronavirus disease 2019 (COVID-19) [11].…”

Section: Discussionmentioning

confidence: 99%

“…As a result of physiological changes that lead to tumour and aneurysm growth, pregnancy also raises the risk of rupture [11]. AML rupture is also at risk from nontumour-related causes, including coagulopathy and coronavirus disease 2019 (COVID-19) [11]. Since the great majority of tumours with a diameter of less than 4 cm are asymptomatic, individuals with these tumours can be kept stable or treated with radiofrequency ablation [12,13].…”

Section: Discussionmentioning

confidence: 99%

Surgical Conundrum: A Case of Giant Renal Angiomyolipoma Abutting Inferior Vena Cava With Haemorrhage

Sahu¹,

Vempati²,

Mendpara³

et al. 2022

Cureus

View full text Add to dashboard Cite

Renal angiomyolipoma (AML) is not only uncommon but often an accidental diagnosis, as it is frequently asymptomatic and affects females disproportionately. Although they may exhibit symptoms of tuberous sclerosis complex and lymphangioleiomyomatosis, the vast majority are sporadic. Due to its vascular nature, AML is prone to bleeding, and AML that bleeds typically belongs to the tuberous sclerosis complex. AMLs are mostly benign, but they can proliferate and invade locally, necessitating a strict management strategy. We hereby delineate the manifestations of a 32-year-old man who complained of increased abdominal size and pain without any history of injury. On examination, abdominal distension was demonstrated, and a palpable mass was detected in the right hypochondrium and right lumbar area. All findings from various diagnostic methods indicated that it was a classic kind of renal AML. We are keeping track of this case because it is rare and quite uncommon in males. The case presented a challenging time for the surgeons to plan the line of treatment.

show abstract

“…Rupture of renal AML with hemorrhage is reported in 15% of patients (4). With the recent pandemic of the novel Coronavirus (COVID-19), various thromboembolic and bleeding events have been reported with possible associations [5][6][7][8]. Our report describes a 44-year-old male COVID-19 patient with ruptured renal AML.…”

Section: Introductionmentioning

confidence: 87%

Renal Angiomyolipoma Rupture Following COVID-19 Infection: A Case Report

Abdurabu¹,

Al-warqi²,

Ebrahim³

et al. 2023

Cureus

View full text Add to dashboard Cite

The novel Coronavirus (COVID-19) is one of the most recent Pandemics that invaded the earth and is still active. It caused and is still causing hundreds of thousands of patients high morbidity and mortality rates, with no definitive cure at this moment. COVID-19 has been proven to be associated with pathologic changes in coagulation, characterized by either thromboembolic or bleeding events. We describe this case of a 44year-old male patient who walked into our emergency department with flank pain and was later discovered to have had renal angiomyolipoma (AML) rupture during his COVID-19 infection, ultimately requiring admission for hemorrhage control via interventional radiology (IR) drainage. Here, we discuss the role of front-line physicians and how they should keep a low threshold for the different presentations that could be associated with COVID-19 infection, such as what was found in this case.

show abstract

Renal angiomyolipoma rupture in a young female with COVID-19

Cited by 4 publications

References 20 publications

Ruptured angiomyolipoma, a novel entity for emergency physicians in the differential diagnosis of haemorrhagic shock in a female patient of reproductive age

Ruptured angiomyolipoma, a novel entity for emergency physicians in the differential diagnosis of haemorrhagic shock in a female patient of reproductive age

Surgical Conundrum: A Case of Giant Renal Angiomyolipoma Abutting Inferior Vena Cava With Haemorrhage

Renal Angiomyolipoma Rupture Following COVID-19 Infection: A Case Report

Contact Info

Product

Resources

About