The Management of Renal Angiomyolipoma

Öesterling, Joseph E.; Fishman, Elliot K.; Goldman, Stanford M.; Marshall, Fray F.

doi:10.1016/s0022-5347(17)46013-7

Cited by 480 publications

(343 citation statements)

References 33 publications

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“…Although most AMLs are small and asymptomatic, some authors suggested that up to 80% of patients when tumour size reaches 4 cm or greater, half of them present with abdominal or flank pain and 10% -20% with haematuria or palpable mass [8]. The tendency to rupture has been attributed to the weak, elastin poor vascular structures in the tumour.…”

Section: Discussionmentioning

confidence: 99%

Embolisation of Bleeding Renal Angiomyolipoma in Pregnancy

Lim¹,

Mulvin²

2011

OJU

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Section: Discussionmentioning

confidence: 99%

Embolisation of Bleeding Renal Angiomyolipoma in Pregnancy

Lim¹,

Mulvin²

2011

OJU

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“…La ecografía y el TAC abdominal realizan el diagnóstico en el 90% de los casos, siendo las técnicas más rentables. Otras téc-nicas de imagen empleadas para el diagnóstico del angiomiolipoma, son, la urografía excretora, la arteriografía, en la que se aprecia la típica imagen en "piel de cebolla", que se origina por las formaciones aneurismáticas y la presencia de vasos sanguíneos finos periféricos 4 ; y la Resonancia Magnética, que es útil sólo en los casos en los que el tumor tiene una alta densidad de tejido adiposo y emite una señas de alta densidad.…”

Section: Discussionunclassified

Angimiolipoma renal como causa de shock hemorrágico agudo

Fernandez

García

Giró

et al. 2008

Actas Urológicas Españolas

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RESUMENANGIMIOLIPOMA RENAL COMO CAUSA DE SHOCK HEMORRÁGICO AGUDO Presentamos una caso de hematoma retroperitoneal y shock hipovolémico como forma de presentación de angiomiolipoma renal, tumor benigno poco frecuente y generalmente asintomático. El sangrado masivo y espontáneo del tumor, fue diagnosticado mediante la realización de ecografía abdominal y confirmado por TAC abdominal de urgencia. Pese a que el tratamiento de este tipo de tumores, en general, es conservador, el tamaño y la severidad de la clínica acompañante obligó a trasladar a la paciente, una vez estabilizada hemodinámicamente, a hospital de tercer nivel para realizar embolización selectiva de la masa renal. La evolución fue favorable sin necesidad de realizar maniobras quirúrgicas más agresivas ni extirpación del angiomiolipoma de forma urgente.Palabras clave: Angiomiolipoma. Shock. Riñon. Tumor. ABSTRACTKIDNEY ANGIOMYOLIPOMA AS AETIOLOGY OF HAEMORRAGIC SHOCK This is a case of retroperitoneal hematoma and hypovolemic shock as a presentation of renal angiomyolipoma, a rarely benign and asymptomatic tumor.The massive and spontaneous bleeding of the tumor was diagnosed by an abdominal ecography and confirmed by an abdominal computer tomography in the emergency room.Although that kind of tumor needs non-aggressive treatment, as a general rule, because of the size and severity of the following symptoms, the patient has been submitted to a selective embolization of the renal mass when he was hemodinamically stabilized.The evolution was favorable; it was not necessary to do more aggressive surgical handling neither to urgently remove the angiomyolipoma.

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“…15 As stated, earlier guidelines for renal AML management, such as those proposed by Oesterling and colleagues, are based on tumour size and the presence of symptoms. 2 However, with an atypical AML presentation this management may not apply. As with the case of vascular invasion, early surgical intervention is critical because a cardiopulmonary tumour embolus may be fatal.…”

Section: Kaler Et Almentioning

confidence: 99%

“…1 It is primarily a benign non-aggressive tumour typically requiring intervention in symptomatic patients or when the tumour diameter exceeds 4 cm as the risk of hemorrhage increases. 2 However, there are cases of more aggressive AML behaviour. Here 2 cases of atypical AML behaviour are presented: inferior vena cava tumour extension and positive regional lymph nodes.…”

Section: Introductionmentioning

confidence: 99%