Rôle de la grossesse dans la rupture d'un angiomyolipome rénal

Raft, Julien; Lalot, Jean-Marc; Meistelman, Claude; Longrois, Dan

doi:10.1016/j.gyobfe.2005.09.015

Cited by 29 publications

(8 citation statements)

References 39 publications

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“…The average size of the tumor in case of rupture is 11.7 cm and it occurs around the 27th week of gestation [2,3]. We observed the rupture at 35 weeks of pregnancy, which is later than published in the literature, although the number of cases that have been reported is too low to establish a precise value (table 1).…”

Section: Discussionmentioning

confidence: 68%

“…If this is not the case, a study of the retroperitoneal region (after stabilization of the patient) [3] should always be included in the diagnostic process. If present, a diagnosis of the clinical symptoms can be done using imaging techniques such as renal ultrasound, CT scan or MRI.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of RAs diagnosed in the general population remain stable with a slow progressive growth, but pregnancy can increase the risk of rupture although the causal mechanism is still not clearly defined [3]. This pathology may be associated to Bourneville tuberous sclerosis and the most frequent symptom is abdominal pain (88%) [3]; however, clinical signs do not usually include fetal well-being affectation.…”

Section: Introductionmentioning

confidence: 99%

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Renal Angiomyolipoma during Pregnancy: Review of the Literature

Zapardiel

Delafuente-Valero²,

Bajo-Arenas³

2011

Gynecol Obstet Invest

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The incidence of renal angiomyolipoma (RA) is 0.3% in the general population, and even more infrequent during pregnancy. Pregnancy can increase the risk of rupture, although the causal mechanism is still not clearly defined. We completed a Medline literature search for articles on RA and pregnancy and its complications. We identified 16 articles (all case reports), but selected only 13 because of unavailable data in the 3 other articles. We report the case of a 30-year-old primiparous woman who presented at the emergency ward with a non-reassuring pattern at fetal monitoring; an urgent cesarean section was decided and carried out. After surgery, a wide retroperitoneal hematoma was observed caused by the rupture of an RA. Conservative management by means of arterial embolism was done and the patient was discharged on postoperative day 10. RAs seem to have a higher risk of rupture during pregnancy, but they should be managed conservatively when hemodynamically possible. Individualization of each case is necessary in order to achieve the best outcome for both the mother and fetus.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Renal Angiomyolipoma during Pregnancy: Review of the Literature

Zapardiel

Delafuente-Valero²,

Bajo-Arenas³

2011

Gynecol Obstet Invest

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“…Evidence suggests a possible relationship between pregnancy and the incidence of rupture of AMLs. It is thought that increased abdominal pressure, increased renal blood flow and hormonal influences may be responsible for causing accelerated growth of AMLs during pregnancy, contributing to the increased risk of haemorrhage [5] . There are few data available, however, on the quantitative relationship between gestational age and the risk of haemorrhage associated with AML.…”

Section: Discussionmentioning

confidence: 99%

A case of haemorrhagic angiomyolipoma after miscarriage

Esan¹,

Rahman²,

Sammut³

et al. 2012

Grand Rounds

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A case of a 27 year-old patient who presented after medical management of a missed miscarriage with an acute abdomen is described. She was found to have a haemorrhagic angiomyolipoma, which was successfully treated radiologically. This case highlights the need to consider this differential in the presentation of acute abdomen in the context of a recent or concurrent pregnancy. It is the first case report to describe this phenomenon in the context of a miscarriage.

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“…Intervention should be considered in patients with suspicious malignancy, symptomatic lesion larger than 4 cm, and women in childbearing age. [ 10 13 14 ] A study revealed the average growth rate is 0.19 cm every year in sporadic AML and 1.25 cm in TSC patients. [ 5 ] Therefore, doctors should be more aggressive to treat AML in TSC patients.…”

Section: Introductionmentioning

confidence: 99%

Benign neoplasm of kidney: Angiomyolipoma

Wang

2018

J Med Ultrasound

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Angiomyolipoma is one of the renal benign neoplasms. The most of the angiomyolipomas are asymptomatic and found incidentally with ultrasound. They are more prevalent in patients with tuberous sclerosis. It is very important to make differential diagnosis from other renal neoplasm such as renal cell carcinoma. Growth rate is higher among pregnant women suggest that the hormones may play a role in the stimulation of angiomyolipoma. The most common serious presentation is rupture and hemorrhage, and sometimes it can lead to shock. Adequate diagnosis, treatment, and follow-up are very important in the face of renal angiomyolipoma.

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Rôle de la grossesse dans la rupture d'un angiomyolipome rénal

Cited by 29 publications

References 39 publications

Renal Angiomyolipoma during Pregnancy: Review of the Literature

Renal Angiomyolipoma during Pregnancy: Review of the Literature

A case of haemorrhagic angiomyolipoma after miscarriage

Benign neoplasm of kidney: Angiomyolipoma

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