Renal angiomyolipoma with IVC thrombus: A case report

Kheir, Pietro; Abdessater, Maher; Khoury, Joey El; Akiel, Rody; Hachem, Charbel El; Tawil, Nabil; Khoury, Rahgid El

doi:10.1016/j.ijscr.2020.04.076

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…Previous reports indicate that AML generally does not adhere to the vessel wall, and fibrin clots are rarely observed. 7 Our surgical technique allowed for shorter IVC clamp times, eliminated the need for unnecessary IVC sutures, and potentially reduced complications and patient stress. Furthermore, there have been reports that administration of sirolimus as a pre-surgical treatment for TSC-related AML resulted in a reduction of AML size by 38–95% and allowed for safe partial nephrectomy.…”

Section: Discussionmentioning

confidence: 95%

Effectiveness of everolimus for sporadic renal angiomyolipoma with inferior vena cava thrombus: A case report

Iwatani

Miki

Urabe

et al. 2023

Urology Case Reports

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Section: Discussionmentioning

confidence: 95%

Effectiveness of everolimus for sporadic renal angiomyolipoma with inferior vena cava thrombus: A case report

Iwatani

Miki

Urabe

et al. 2023

Urology Case Reports

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“…Renal AML with invasion of venous structures is a rare phenomenon, with <100 cases of IVC invasion reported [ 4 ]. Dissemination into PE is rarer, and only a few other cases have been identified [ 5–8 ].…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary approach to the management of renal angiomyolipoma with inferior vena cava thrombus and pulmonary embolism: a case report

Perdue,

Wells,

Patel

et al. 2024

Journal of Surgical Case Reports

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Renal angiomyolipoma (AML) is a benign tumor with rare venous extension. We present a case of a patient with renal AML with inferior vena cava (IVC) tumor thrombus and acute pulmonary embolism (PE). A 34-year-old female presented with chest pain. Imaging revealed a 5 cm right renal AML, with tumor thrombus into the renal vein and IVC, and acute left lower lobe PE. Right radical nephrectomy and caval thrombectomy were performed using intraoperative ultrasound. Rarely, these benign tumors generate thrombus with caval extension. The location of IVC thrombus guides surgical planning, which may involve suprahepatic IVC control or cardiopulmonary bypass. Early involvement of a multidisciplinary team with extensive preoperative planning can help achieve successful outcomes.

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