Spontaneous rupture of renal angiomyolipoma and its management: A case report

被引：2

作者：

Thapa, Narayan ^{[1
]}

Maharjan, Suman ^{[2
]}

Hona, Anil ^{[1
]}

Pandey, Jayaram ^{[1
]}

Karki, Sabin ^{[2
]}

机构：

[1] Shree Birendra Hosp, Dept Surg, Kathmandu 44600, Nepal

[2] Nepalese Army Inst Hlth Sci NAIHS, Coll Med, Kathmandu 44600, Nepal

来源：

ANNALS OF MEDICINE AND SURGERY | 2022年 / 79卷

关键词：

Case report; Renal angiomyolipoma; Spontaneous rupture; Ventricular tachycardia; CLASSIFICATION; DIAGNOSIS; PATIENT; COMPLEX;

D O I：

10.1016/j.amsu.2022.104037

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

(a)Introduction and Importance: Angiomyolipomas of kidney are benign lesions that are generally an incidental finding on imaging. Rupture of angiomyolipoma is rare and fatal complication that requires early intervention. (b)Case Presentation: A 38 year old male patient presented with symptoms of right flank pain for 2 days. On clinical examination patient looked anxious, pale with right flank tenderness, guarding and signs of shock. (c)Clinical findings and investigations: CT scan showed renal angiomyolipoma with aneurysm formation and bleed from the lesion. Blood profile revealed low hemoglobin. (d)Interventions and Outcome: Right nephrectomy performed along 6 cycles of cardiopulmonary reususcitaion done with stable post operatively vitals. (e)Conclusion: Early diagnosis of complication of angiomyolipoma requires thorough clinical examination and judicious use of imaging. Immediate embolization or surgery must be performed for better outcome and survival rate.

引用

页数：4

共 20 条

[1] The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines [J].

Agha, Riaz A. ;

Franchi, Thomas ;

Sohrabi, Catrin ;

Mathew, Ginimol ;

Kerwan, Ahmed ;

Thoma, Achilles ;

Beamish, Andrew J. ;

Noureldin, Ashraf ;

Rao, Ashwini ;

Vasudevan, Baskaran ;

Challacombe, Ben ;

Perakath, Benjamin ;

Kirshtein, Boris ;

Ekser, Burcin ;

Pramesh, C. S. ;

Laskin, Daniel M. ;

Machado-Aranda, David ;

Miguel, Diana ;

Pagano, Duilio ;

Millham, Frederick H. ;

Roy, Gaurav ;

Kadioglu, Huseyin ;

Nixon, Iain J. ;

Mukhejree, Indraneil ;

McCaul, James A. ;

Ngu, James Chi-Yong ;

Albrecht, Joerg ;

Gomez Rivas, Juan ;

Raveendran, Kandiah ;

Derbyshire, Laura ;

Ather, M. Hammad ;

Thorat, Mangesh A. ;

Valmasoni, Michele ;

Bashashati, Mohammad ;

Chalkoo, Mushtaq ;

Teo, Nan Zun ;

Raison, Nicholas ;

Muensterer, Oliver J. ;

Bradley, Patrick James ;

Goel, Prabudh ;

Pai, Prathamesh S. ;

Afifi, Raafat Yahia ;

Rosin, Richard David ;

Coppola, Roberto ;

Klappenbach, Roberto ;

Wynn, Rolf ;

De Wilde, Rudy Leon ;

Surani, Salim ;

Giordano, Salvatore ;

Massarut, Samuele .

INTERNATIONAL JOURNAL OF SURGERY, 2020, 84 :226-230

[2] RETRACTED: Spontaneous Rupture of urge Angiomyolipoma of the Kidney: A Rare Case (Retracted Article) [J].

Altuwayr, Rakan M. ;

Almutairi, Fahad S. ;

Alkhaibari, Shuruq H. ;

Alharbi, Abdullah M. ;

Alramih, Abdullah A. ;

Alamri, Raghdah A. ;

Alghamdi, Alwaleed S. ;

Alshammari, Mishari M. ;

Alshammari, Thurya S. ;

Alzahrani, Abdulmajeed A. ;

Al Khafaji, Dina M. ;

Alamri, Abdulrahman A. ;

Alshahrani, Khalid A. ;

Binsalman, Sara A. ;

Al-Hawaj, Faisal .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (11)

[3] Angiomyolipoma of the kidney: from simple hamartoma to complex tumour [J].

Calio, Anna ;

Brunelli, Matteo ;

Segala, Diego ;

Zamboni, Giuseppe ;

Bonetti, Franco ;

Pea, Maurizio ;

Martignoni, Guido .

PATHOLOGY, 2021, 53 (01) :129-140

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

Chronopoulos, Panagiotis Nikolaos ;

Kaisidis, Georgios Nikolaos ;

Vaiopoulos, Christos Konstantinos ;

Perits, Dragana Milosav ;

Varvarousis, Michail Nikolaos ;

Malioris, Apostolos Vasilios ;

Pazarli, Elissabeth ;

Skandalos, Ioannis Konstantinos .

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2016, 19 :140-143

[5] Giant renal pseudoaneurysm complicating angiomyolipoma in a patient with tuberous sclerosis complex: An unusual case report and review of the literature [J].

Esmat, Habib Ahmad ;

Naseri, Mohammad Wali .

ANNALS OF MEDICINE AND SURGERY, 2021, 62 :131-134

[6] Management of Sporadic Renal Angiomyolipomas: A Systematic Review of Available Evidence to Guide Recommendations from the European Association of Urology Renal Cell Carcinoma Guidelines Panel [J].

Fernandez-Pello, Sergio ;

Hora, Milan ;

Kuusk, Teele ;

Tahbaz, Rana ;

Dabestani, Saeed ;

Abu-Ghanem, Yasmin ;

Albiges, Laurence ;

Giles, Rachel H. ;

Hofmann, Fabian ;

Kuczyk, Markus A. ;

Lam, Thomas B. ;

Marconi, Lorenzo ;

Merseburger, Axel S. ;

Powles, Thomas ;

Staehler, Michael ;

Volpe, Alessandro ;

Ljungberg, Borje ;

Bex, Axel ;

Bensalah, Karim .

EUROPEAN UROLOGY ONCOLOGY, 2020, 3 (01) :57-72

[7] The radiological diagnosis and treatment of renal angiomyolipoma-current status [J].

Halpenny, D. ;

Snow, A. ;

McNeill, G. ;

Torreggiani, W. C. .

CLINICAL RADIOLOGY, 2010, 65 (02) :99-108

[8] Management of renal angiomyolipomas associated with tuberous sclerosis complex [J].

Harabayashi, T ;

Shinohara, N ;

Katano, H ;

Nonomura, K ;

Shimizu, T ;

Koyanagi, T .

JOURNAL OF UROLOGY, 2004, 171 (01) :102-105

[9] Giant renal artery pseudoaneurysm caused by rupture of renal angiomyolipoma following pregnancy: Endovascular treatment and review of the literature [J].

Idilman, Ilkay S. ;

Vesnic, Sanela ;

Cil, Barbaros ;

Peynircioglu, Bora .

SAUDI JOURNAL OF KIDNEY DISEASES AND TRANSPLANTATION, 2014, 25 (02) :385-389

[10] Renal angiomyolipoma: a radiological classification and update on recent developments in diagnosis and management [J].

Jinzaki, Masahiro ;

Silverman, Stuart G. ;

Akita, Hirotaka ;

Nagashima, Yoji ;

Mikami, Shuji ;

Oya, Mototsugu .

ABDOMINAL IMAGING, 2014, 39 (03) :588-604

← 1 2 →