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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.


Related in: MedlinePlus

Axial T2 weighted MRI image: High signal intensity in left occipital lobe demonstrating acute ischaemic stroke
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SHORTS-11-139F2: Axial T2 weighted MRI image: High signal intensity in left occipital lobe demonstrating acute ischaemic stroke

Mentions: Intraoperatively the surgeons were able to successfully resect a segment of AML measuring 14 × 19 cm. Postoperatively there was a prolonged period of hypotension requiring inotropic support and blood product replacement. She underwent three further abdominal operations to investigate and treat ongoing blood loss and abdominal compartment syndrome. This was subsequently exacerbated by intra-abdominal sepis – perihepatic collections necessitating ultrasound guided drainage and episodes of pneumoniae with multiple courses of intravenous antibiotics. During her ITU course she required haemofiltration, ventilation via a tracheostomy and total parenteral nutrition. Upon clinical improvement a right sided homonymous hemianopia was noted, with evidence of a left posterior circulation artery territory ischaemia demonstrated on head MRI scan (Figure 2). The patient made a very slow recovery and was discharged 50 days later, with normal renal function, a large open abdominal wound (left to heal by secondary intention) and a new visual field defect. She has subsequently developed an incisional hernia and the visual defect has failed to resolve.


Managing a massive renal angiomyolipoma.

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

Axial T2 weighted MRI image: High signal intensity in left occipital lobe demonstrating acute ischaemic stroke
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

SHORTS-11-139F2: Axial T2 weighted MRI image: High signal intensity in left occipital lobe demonstrating acute ischaemic stroke
Mentions: Intraoperatively the surgeons were able to successfully resect a segment of AML measuring 14 × 19 cm. Postoperatively there was a prolonged period of hypotension requiring inotropic support and blood product replacement. She underwent three further abdominal operations to investigate and treat ongoing blood loss and abdominal compartment syndrome. This was subsequently exacerbated by intra-abdominal sepis – perihepatic collections necessitating ultrasound guided drainage and episodes of pneumoniae with multiple courses of intravenous antibiotics. During her ITU course she required haemofiltration, ventilation via a tracheostomy and total parenteral nutrition. Upon clinical improvement a right sided homonymous hemianopia was noted, with evidence of a left posterior circulation artery territory ischaemia demonstrated on head MRI scan (Figure 2). The patient made a very slow recovery and was discharged 50 days later, with normal renal function, a large open abdominal wound (left to heal by secondary intention) and a new visual field defect. She has subsequently developed an incisional hernia and the visual defect has failed to resolve.

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.


Related in: MedlinePlus