Spontaneous Hemorrhage during Pregnancy Secondary to Renal Angiomyolipoma

Abstract

We report a case of spontaneous hemorrhage secondary to renal angiomyolipoma treated with percutaneous transcatheter arterial embolization. Fourteen and 18 months after the procedure, the patient showed repeated spontaneous hemorrhage during pregnancy. However, a healthy female infant was delivered at the 39th week of the pregnancy. We discuss the management of renal angiomyolipoma in young married women before pregnancy.

Spectrum of Neoplastic and Non-Neoplastic Lesions Associated With Pregnancy- 5 Years Experience in a Tertiary Referral Centre

“…(10) Germ cell tumours and epithelial tumours of low malignant potential were much more prevalent than other types of malignancies in pregnancy. (17) Among epithelial tumours, serous cystadenomas were common followed by mucinous cystadenomas. (18) These epithelial tumours were of low malignant potential.…”

Renal Angiomyolipoma during Pregnancy: Review of the Literature

“…Since the average time to rupture is 27 weeks of gestation, it also causes important additional problems in the newborn due to immaturity. Conservative management should therefore be carried out before the 32nd week if hemodynamically possible, although some authors prefer to finalize gestation at the 28th week after fetal lung maturation, treating the RA during the same surgery [8,9]. Depending on the clinical situation, gestational age and fetal well-being, cesarean section or vaginal delivery may be carried out.…”

Spontanruptur einer Niere post partum aufgrund eines urothelialen Karzinoms

“…Hier finden sich vorwiegend Angiomyolipome, seltener Nierenzellkarzinome [13,39,40]. Maligne urotheliale Neoplasien während der Schwangerschaft haben eine sehr seltene Inzidenz von etwa 1 : 1000 [17].…”

“…1~Präoperative Computertomographie Diskussion Spontane tumorassoziierte Rupturen der Niere während der Schwangerschaft sind eine Seltenheit [13,39,40]. Walker u. Knight [36] berichteten über 35 Fälle zwischen 1890 und 1986.…”

“…In der Mehrzahl bei etwa 25 % handelt es sich um gutartige Angiomyolipome [13, 39±41]. Die Ruptur von Nierenzellkarzinomen wird wesentlich seltener beschrieben [13,39,40]. Unseres Wissens handelt es sich bei unserer Falldarstellung um die Erstbeschreibung eines postpartal rupturierten Urothelkarzinoms.…”