[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 1, Issue 3 (Summer 2020) ::
J Vessel Circ 2020, 1(3): 9-12 Back to browse issues page
Spontaneous Hemorrhage of a Renal Angiomyolipoma: Case Report and Review
Habib Farahmand , Jafar Ahmadi , Mehrnam Amouei , Sajjad Rezvan * , Ssahar Hassani , Zahra Khodaie , Mahdi Basirian , Mohammad Hossein Assi
Department of Radiology, Rafsanjan University of Medical Sciences
Abstract:   (154 Views)
Background: Angiomyolipoma is a benign renal tumor composed of fat tissue, smooth muscle, and vascular tissue. Angiomyolipoma tumors are usually asymptomatic and diagnosed incidentally. The tumor hemorrhage is the most common complication of angiomyolipoma. Moreover, Wunderlich syndrome is a rare spontaneous phenomenon associated with sub-capsular and perirenal hemorrhage with no history of trauma.
Case Report: This case report presents a spontaneous hemorrhage of a renal angiomyolipoma.
Conclusion: Angiomyolipoma can be presented with sub-capsular and perirenal hemorrhage with no history of trauma that can be life-threatening.
Keywords: renal Angiomyolipoma, hemorrhage, Wunderlich syndrome
Full-Text [PDF 806 kb]   (31 Downloads) |   |   Full-Text (HTML)  (32 Views)  
Type of Study: case report | Subject: interventional vascular radiology
Received: 2020/10/9 | Accepted: 2020/11/27 | Published: 2020/08/31
References
1. 1. Nelson CP, Sanda MG. Contemporary diagnosis and management of renal angiomyolipoma. J Urol 2002;168(4 Pt 1):1315-25. PMID: 12352384 [DOI:10.1016/S0022-5347(05)64440-0]
2. Fittschen A, Wendlik I, Oeztuerk S, Kratzer W, Akinli AS, Haenle MM, et al. Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in-and out-patients. Abdom Imaging 2014;39(5):1009-13. PMID: 24705668 [DOI:10.1007/s00261-014-0129-6]
3. Flum AS, Hamoui N, Said MA, Yang XJ, Casalino DD, McGuire BB, et al. Update on the diagnosis and management of renal angiomyolipoma. J Urol 2016;195(4 Pt 1):834-46. PMID: 26612197 [DOI:10.1016/j.juro.2015.07.126]
4. Katabathina VS, Katre R, Prasad SR, Surabhi VR, Shanbhogue AK, Sunnapwar A. Wunderlich syndrome: cross-sectional imaging review. J Computer Assist Tomogr 2011;35(4):425-33. PMID: 21765296 [DOI:10.1097/RCT.0b013e3182203c5e]
5. Simmons J, Hussain S, Riley P, Wallace D. Management of renal angiomyolipoma in patients with tuberous sclerosis complex. Oncol Rep 2003;10(1):237-41. PMID: 12469175 [DOI:10.3892/or.10.1.237]
6. Kiefer RM, Stavropoulos SW. The role of interventional radiology techniques in the management of renal angiomyolipomas. Curr Urol Rep 2017;18(5):36. PMID: 28299630 [DOI:10.1007/s11934-017-0687-6]
7. Buj Pradilla MJ, Martí Ballesté T, Torra R, Villacampa Aubá F. Recommendations for imaging-based diagnosis and management of renal angiomyolipoma associated with tuberous sclerosis complex. Clin Kidney J 2017;10(6):728-37. PMID: 29225800 [DOI:10.1093/ckj/sfx094]
8. Woo S, Suh CH, Cho JY, Kim SY, Kim SH. Diagnostic performance of CT for diagnosis of fat-poor angiomyolipoma in patients with renal masses: a systematic review and meta-analysis. AJR Am J Roentgenol 2017;209(5):W297-307. PMID: 28834444 [DOI:10.2214/AJR.17.18184]
9. Wright TJ, Colon PJ, Vakar-Lopez F, Bakthavatsalam R, Psutka SP. Sporadic Angiomyolipoma of the kidney with associated renal vein tumor thrombus. Curr Problems Cancer 2020;1:100016. Link [DOI:10.1016/j.cpccr.2020.100016]
10. Majdoub A, Khallouk A, Farih MH. Aggressive renal angiomyolipoma extending to the renal vein: about a case and literature review. Pan Afr Med J 2017;28:190. PMID: 29599888 [DOI:10.11604/pamj.2017.28.190.7746]
11. Wang L, Ni D, Zhong L, Wang J. Familial genetic tuberous sclerosis complex associated with bilateral giant renal angiomyolipoma: a case report. Oncol Lett 2017;14(6):7099-106. PMID: 29344140 [DOI:10.3892/ol.2017.7165]
12. Lee G, Nabavizadeh R, Osunkoya AO, Master VA. A rare case of vena cava tumor thrombus associated with epithelioid angiomyolipoma. Urology 2020;142:e4-7. PMID: 32445769 [DOI:10.1016/j.urology.2020.05.022]
13. Nason GJ, Morris J, Bhatt JR, Richard PO, Martin L, Ajib K, et al. Natural history of renal angiomyolipoma favors surveillance as an initial approach. Eur Urol Focus 2020;S2405(20):30162. PMID: 32636160 [DOI:10.1016/j.euf.2020.06.004]
14. Kim JW, Kim JY, Ahn ST, Park TY, Oh MM, Moon DG, et al. Spontaneous perirenal hemorrhage (Wunderlich syndrome): an analysis of 28 cases. Am J Emerg Med 2019;37(1):45-7. PMID: 29779678 [DOI:10.1016/j.ajem.2018.04.045]
15. Wright T, Sooriakumaran P. Renal angiomyolipoma presenting with massive retroperitoneal haemorrhage due to deranged clotting factors: a case report. Cases J 2008; 1(1):213. PMID: 18834543 [DOI:10.1186/1757-1626-1-213]
16. Barghi MR, Rahmani M, Haghighatkhah HR. Large intratumoral pseudoaneurysm in a patient with bleeding renal angiomyolipoma. Iran J Radiol 2006;3(3):189-92. Link
17. Roozbeh J, Eshraghian A, Geramizadeh B, Nikeghbalian S, Salehipour M, Malek-Hosseini SA. A rare incidence of angiomyolipoma after kidney transplantation. Iran J Kidney Dis 2012;6(4):311-3. PMID: 22797103
18. Morales JP, Georganas M, Khan MS, Dasgupta P, Reidy JF. Embolization of a bleeding renal angiomyolipoma in pregnancy: case report and review. Cardiovasc Intervent Radiol 2005;28(2):265-8. PMID: 15696353 [DOI:10.1007/s00270-004-1850-2]
19. Qiu T, Ling W, Lu Q, Lu C, Luo Y. Contrast-enhanced ultrasound in diagnosis of epithelioid renal angiomyolipoma with renal vein and inferior vena cava extension. J Med Ultrason 2016;43(3):427-30. PMID: 26960715 [DOI:10.1007/s10396-016-0705-1]
20. Hadley D, Bryant L, Ruckle H. Conservative treatment of renal angiomyolipomas in patients with tuberous sclerosis. Clin Nephrol 2006;65(1):22-7. PMID: 16429838 [DOI:10.5414/CNP65022]
21. Yousaf A, Nabi U, Hussein ML, Twair A, Ben Gashir M. Fat-containing renal cell carcinoma mimicking angiomyolipoma: a radiological and histopathological diagnostic challenge. Cureus 2020;12(1):e6721. PMID: 32133249 [DOI:10.7759/cureus.6721]
22. Cholet C, Eiss D, Cohen D, Verkarre V, Hélénon O. Calcified renal Angiomyolipoma: a case report. Urology 2016;97:e7-8. PMID: 27443470 [DOI:10.1016/j.urology.2016.07.011]
23. Israel GM, Bosniak MA, Slywotzky CM, Rosen RJ. CT differentiation of large exophytic renal angiomyolipomas and perirenal liposarcomas. Am J Roentgenol 2002;179(3): 769-73. PMID: 12185060 [DOI:10.2214/ajr.179.3.1790769]
24. Faddegon S, So A. Treatment of angiomyolipoma at a tertiary care centre: the decision between surgery and angioem-bolization. Can Urol Assoc J 2011;5(6):E138-41. PMID: 21388589 [DOI:10.5489/cuaj.10028]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Farahmand H, Ahmadi J, Amouei M, Rezvan S, Hassani S, Khodaie Z, et al . Spontaneous Hemorrhage of a Renal Angiomyolipoma: Case Report and Review. J Vessel Circ. 2020; 1 (3) :9-12
URL: http://jvessels.muq.ac.ir/article-1-50-en.html


Volume 1, Issue 3 (Summer 2020) Back to browse issues page
Journal of Vessels and Circulation Journal of Vessels and Circulation
Persian site map - English site map - Created in 0.06 seconds with 29 queries by YEKTAWEB 4263