Giant renal artery pseudoaneurysm caused by rupture of renal angiomyolipoma following pregnancy : endovascular treatment andreview of the literature

Renal angiomyolipoma is a hamartomatous, benign tumor composed of blood vessels, fatty tissue and smooth muscle cells, and is often detected incidentally. It can also be associated with the tuberous-sclerosis complex (TSC). Pregnancy and use of oral contraceptives are known to be associated with an...

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Published inSaudi journal of kidney diseases and transplantation Vol. 25; no. 2; pp. 385 - 389
Main Authors Vesnic, Sanela, Cil, Barbaros, Peynircioglu, Bora, Idilman, Ilkay S.
Format Journal Article
LanguageEnglish
Published Riyadh, Saudi Arabia Saudi Center for Organ Transplantation 2014
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Summary:Renal angiomyolipoma is a hamartomatous, benign tumor composed of blood vessels, fatty tissue and smooth muscle cells, and is often detected incidentally. It can also be associated with the tuberous-sclerosis complex (TSC). Pregnancy and use of oral contraceptives are known to be associated with an increased risk of tumoral rupture and bleeding. Herein, we report a unique case of renal angiomyolipoma associated with TSC who presented with hypovolemic shock as a result of spontaneous rupture of a giant renal pseudoaneurysm, immediately after pregnancy. Emergency endovascular treatment was successful with sparing of most of the affected kidney as demonstrated by follow-up computed tomography imaging.
ISSN:1319-2442
2320-3838