RETRACTED: Spontaneous Rupture of urge Angiomyolipoma of the Kidney: A Rare Case (Retracted Article)

被引：4

作者：

Altuwayr, Rakan M. ^{[1
]}

Almutairi, Fahad S. ^{[2
]}

Alkhaibari, Shuruq H. ^{[1
]}

Alharbi, Abdullah M. ^{[3
]}

Alramih, Abdullah A. ^{[4
]}

Alamri, Raghdah A. ^{[5
]}

Alghamdi, Alwaleed S. ^{[6
]}

Alshammari, Mishari M. ^{[7
]}

Alshammari, Thurya S. ^{[8
]}

Alzahrani, Abdulmajeed A. ^{[3
]}

Al Khafaji, Dina M. ^{[9
]}

Alamri, Abdulrahman A. ^{[10
]}

Alshahrani, Khalid A. ^{[11
]}

Binsalman, Sara A. ^{[12
]}

Al-Hawaj, Faisal ^{[5
]}

机构：

[1] Vis Coll, Coll Med, Riyadh, Saudi Arabia

[2] Taif Univ, Coll Med, At Taif, Saudi Arabia

[3] Qassim Univ, Coll Med, Buraydah, Saudi Arabia

[4] Dar Al Uloom Univ, Coll Med, Riyadh, Saudi Arabia

[5] Imam Abdulrahman Bin Faisal Univ, Coll Med, Dammam, Saudi Arabia

[6] King Abdulaziz Univ, Coll Med, Jeddah, Saudi Arabia

[7] Majmaah Univ, Coll Med, Al Majmaah, Saudi Arabia

[8] Univ Hail, Coll Med, Hail, Saudi Arabia

[9] Northern Border Univ, Coll Med, Ar Ar, Saudi Arabia

[10] Dammam Univ, Coll Med, Dammam, Saudi Arabia

[11] King Khalid Univ, Coll Med, Abha, Saudi Arabia

[12] Ibn Sina Natl Coll Med Studies, Coll Med, Jeddah, Saudi Arabia

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 11期

关键词：

case report; flank pain; hemorrhage; renal angiomyolipoma; wunderlich syndrome; RENAL ANGIOMYOLIPOMA;

D O I：

10.7759/cureus.19908

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Angiomyolipoma is the most frequent neoplasm of the kidney. It may have a wide range of clinical manifestations, but it is usually detected incidentally on cross-sectional images. Rupture and hemorrhage of angiomyolipoma is an important concern for large lesions. We present the case of a 42-year-old female, with no history of urinary stones, who presented with a sudden-onset left flank pain for eight hours. Upon examination, she was tachycardic and hypotensive. Abdominal examination revealed a left-sided flank mass. Abdominal computed tomography (CT) scan with intravenous contrast demonstrated a heterogeneous mass lesion in the left kidney with mixed attenuation and had a macroscopic fat density that was surrounded by a large hematoma. Subsequently, transcatheter renal artery embolization was performed with no complications. The procedure was able to control the active bleeding. Then, a total nephrectomy was performed, and the hematoma was evacuated during laparotomy. Spontaneous nontraumatic renal hemorrhage is a very rare condition. Clinicians should keep a high index of suspicion for this condition when they encounter a patient with the clinical triad of flank pain, flank mass, and hypotension. The case demonstrated the role of endovascular embolization of angiomyolipoma to control life-threatening hemorrhage.

引用

页数：5

共 9 条

[1]

Ahmad Mehtab, 2012, BMJ Case Rep, V2012, DOI 10.1136/bcr-2012-006280

[2] Spontaneous rupture of a giant renal angiomyolipoma-Wunderlich's syndrome: Report of a case [J].