Conservative Management of a Bleeding Renal Angiomyolipoma in Pregnancy

Abstract

Bleeding angiomyolipomas in pregnancy were managed successfully through conservative management and vaginal delivery.

Increasing Severity of Haematuria with Successive Pregnancies in a Woman with Renal Angiomyolipoma

“…Consequently, for women who plan to have more children, excisional surgery in between pregnancies would appear to be the treatment of choice. As in most other reports, the risk of spontaneous haemorrhage is more during the last trimester of pregnancy again as demonstrated by our patient [11][12][13][14][15].…”

“…The treatment for women with haemorrhage during pregnancy requires careful consideration. In a pregnant woman, bleeding AML can be successfully treated conservatively or by using angioembolisation depending on the severity of the bleeding [10,11]. Our experience indicates that if the patient plans to have more children, the risk of more profuse bleeding from the AML is high with successive pregnancies.…”

European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis

“…It is likely that patients with poor baseline lung function are less likely to tolerate a pneumothorax or chylous effusion during pregnancy. There may be an increased risk of bleeding from angiomyolipoma during pregnancy [62][63][64][65]. 3) Patients with a known untreated pneumothorax, or a pneumothorax treated within the previous month, should not travel by air.…”

Renal Angiomyolipoma during Pregnancy: Review of the Literature

“…After treatment, if we decide to continue with the gestation, periodical controls should be implemented every 4–6 weeks until fetal lung maturity is reached [10]. Sometimes just conservative management without any therapeutic intervention may be considered when there is no tumor rupture or it remains stable [5,10,11]. In our case, since the patient underwent surgery because of the loss of fetal well-being, we did not carry out any renal surgery since we did not notice the presence of the RA.…”