Rupture of renal angiomyolipoma in pregnancy

Pontis, Alessandro; Piras, Bruno; Meloni, Alessandra; Lisa, Antonello De; Melis, Gb; Angioni, Stefano

doi:10.3109/01443615.2013.810201

Cited by 12 publications

(11 citation statements)

References 8 publications

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“…However, no aneurysm was found by angiography at the time of transcatheter arterial embolization and pathological examination. Pregnancy is also one of the factors leading to rupture in a female patient [20]. …”

Section: Discussionmentioning

confidence: 99%

Ruptured Hepatic Epithelioid Angiomyolipoma: A Case Report and Literature Review

Tajima¹,

Suzuki

Suzumura

2014

Case Rep Oncol

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A 38-year-old male was admitted to our hospital due to upper abdominal pain. Computed tomography revealed a hepatic angiomyolipoma (AML; 10.5 × 9.5 × 7.0 cm in size), which had ruptured into the space between the liver and the diaphragm. Following transcatheter arterial embolization, surgical resection was performed. The tumor consisted of epithelioid cells (50-60%), mature fat (40-50%), and thickened-wall blood vessels. Considering the amount of epithelioid cells and their positivity for E-cadherin and β-catenin, the tumor was diagnosed as hepatic epithelioid AML. Cases of ruptured hepatic AML are rare. To the best of our knowledge, this is the sixth case reported in the English literature.

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Section: Discussionmentioning

confidence: 99%

Ruptured Hepatic Epithelioid Angiomyolipoma: A Case Report and Literature Review

Tajima¹,

Suzuki

Suzumura

2014

Case Rep Oncol

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“…a: contrast-enhanced CT scan in the axial plane obtained during the arterial phase shows large RAML with arterial dysplasia (white arrow); b: early phase renal angiography of large RAML in the lower pole of a right kidney with arterial dysplasia (white arrow); c: early phase renal angiography: embolization with coils and microspheres of large RAML with arterial dysplasia (black arrow); d: contrastenhanced CT scan in the nephrographic phase shows RAML necrosis following embolization with coils and microspheres of a large RAML with arterial dysplasia and a fatty fluid layer (white arrow); e: contrast-enhanced CT scan in the axial plane shows 90% reduction in RAML volume 12 months after arterial embolization (white arrow). arterial dysplasia, multifocal vessel anomalies, high-risk locations (subcapsular or exorenal locations), a history of bleeding and the hormonal setting (pregnancy, childbirth) [7,11,13,22,23].…”

Section: Discussionmentioning

confidence: 99%

Tumor necrosis after preventive embolization of large renal angiomyolipomas

Rafei

Renard

Puech

et al. 2015

Diagnostic and Interventional Imaging

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“…Tubular calculi and obstruction of the lower urinary tract are common causes of rupture of the renal collecting system [12]. In patients with renal parenchymal rupture, the main concern is to stabilize hemodynamic status in the patient because both the mother and fetus may be in danger [20].…”

Section: Discussionmentioning

confidence: 99%

Perinephric urinoma following spontaneous renal rupture in the third trimester of pregnancy: a case report and brief review of the literature

Chen

Yan

Zhang

et al. 2019

BMC Pregnancy Childbirth

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Background: Spontaneous formation of urinoma is a rare condition, especially for pregnant women. We report a patient in the third trimester of pregnancy with a spontaneous renal rupture who then develops a urinoma from urine leaking into the perinephric space. Case presentation: A 23-year-old primagravida was diagnosed with a spontaneous renal rupture and acute left loin pain accompanied by hematuria when she was 35 weeks pregnant. A sub-capsular perinephric cyst then developed to a size of 319 × 175 × 253 mm, and because of discomfort to the patient, we performed Cesarean section. After a healthy male newborn was delivered, fluid was suctioned from a large perirenal cyst that had an estimated size of 300 × 200 × 300 mm. A percutaneous nephrostomy tube was left in the cyst until CT showed no remaining fluid. In the six-month follow-up, the patient showed no perirenal extravasation according to an ultrasound scan, and the urine analysis and renal function tests were normal. Conclusion: Close follow-up should be recommended for the patient who has renal rupture after conservative therapy, especially for pregnant woman. CT or MRI should be considered in addition to utilizing ultrasound in the management of pregnant women who present with urinomas. Percutaneous nephrostomy is suggested as an appropriate treatment for large urinomas.

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Rupture of renal angiomyolipoma in pregnancy

Cited by 12 publications

References 8 publications

Ruptured Hepatic Epithelioid Angiomyolipoma: A Case Report and Literature Review

Ruptured Hepatic Epithelioid Angiomyolipoma: A Case Report and Literature Review

Tumor necrosis after preventive embolization of large renal angiomyolipomas

Perinephric urinoma following spontaneous renal rupture in the third trimester of pregnancy: a case report and brief review of the literature

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