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Managing a massive renal angiomyolipoma.

Gupta S, Correa G, Al-Akraa M, Nicol D, Burns A - JRSM Short Rep (2012)

View Article: PubMed Central - PubMed

Affiliation: UCL Centre of Nephrology, Royal Free Hospital , Pond Street, London NW3 2QG , UK.

ABSTRACT

A case of allegedly benign giant renal AML is presented here because of its uncommon occurrence in an effectively single kidney and the huge clinical dilemma it presented for her clinicians, as well as the poor overall outcome for the patient despite eventual satisfactory renal outcome.

No MeSH data available.


Magnetic resonance angiogram: Massive left sided AML with displacement of spleen and ureter
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SHORTS-11-139F1: Magnetic resonance angiogram: Massive left sided AML with displacement of spleen and ureter

Mentions: A giant renal angiomyolipoma (AML) measuring 18 × 13.2 × 22.4 cm was found in the left kidney of this 43-year-old female (with no evidence of tuberous sclerosis [TS]). Her other kidney was atrophic contributing only 3% of total renal function (damaged by chronic pelvi-ureteric junction obstruction). The grossly hypertrophied left kidney was causing displacement of the ureter, pancreas and spleen (Figure 1). There was gross neovascularization within the AML, and the patient suffered three life threatening episodes of haemorrhage requiring interventional radiological procedures which attempted to coil the arteriovenous malformations. On one of these occasions the procedure caused a renal artery aneurysm and a radiological attempt at repair resulted in contrast induced anaphylaxis thereby precluding any further radiological attempts. Owing to the risk of further haemorrhagic episodes, a difficult decision was made to attempt a partial nephrectomy to excise the angiomyolipoma – at this risk of rendering the patient effectively anephric and dialysis dependent if total nephrectomy had to be performed to control bleeding.


Managing a massive renal angiomyolipoma.

Gupta S, Correa G, Al-Akraa M, Nicol D, Burns A - JRSM Short Rep (2012)

Magnetic resonance angiogram: Massive left sided AML with displacement of spleen and ureter
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3375842&req=5

SHORTS-11-139F1: Magnetic resonance angiogram: Massive left sided AML with displacement of spleen and ureter
Mentions: A giant renal angiomyolipoma (AML) measuring 18 × 13.2 × 22.4 cm was found in the left kidney of this 43-year-old female (with no evidence of tuberous sclerosis [TS]). Her other kidney was atrophic contributing only 3% of total renal function (damaged by chronic pelvi-ureteric junction obstruction). The grossly hypertrophied left kidney was causing displacement of the ureter, pancreas and spleen (Figure 1). There was gross neovascularization within the AML, and the patient suffered three life threatening episodes of haemorrhage requiring interventional radiological procedures which attempted to coil the arteriovenous malformations. On one of these occasions the procedure caused a renal artery aneurysm and a radiological attempt at repair resulted in contrast induced anaphylaxis thereby precluding any further radiological attempts. Owing to the risk of further haemorrhagic episodes, a difficult decision was made to attempt a partial nephrectomy to excise the angiomyolipoma – at this risk of rendering the patient effectively anephric and dialysis dependent if total nephrectomy had to be performed to control bleeding.

View Article: PubMed Central - PubMed

Affiliation: UCL Centre of Nephrology, Royal Free Hospital , Pond Street, London NW3 2QG , UK.

ABSTRACT

A case of allegedly benign giant renal AML is presented here because of its uncommon occurrence in an effectively single kidney and the huge clinical dilemma it presented for her clinicians, as well as the poor overall outcome for the patient despite eventual satisfactory renal outcome.

No MeSH data available.