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2021, Number 1

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RCU 2021; 10 (1)

Selective arterial embolization of complicated renal angiomyolipoma

de la Cruz OA, Vázquez LF, Sarmiento DR, Quintana RM

Language: Spanish
References: 13
Page: 1-10
PDF size: 465.70 Kb.


ABSTRACT

Angiomyolipoma is a solid benign renal tumor that occurs most often in women. It usually occurs in middle age. Macroscopic hematuria and flank pain are non-specific symptoms. Computed axial tomography and nuclear magnetic resonance imaging have a high diagnostic sensitivity. Wunderlich syndrome (spontaneous perirenal bleeding) is its most feared complication. The selective arterial embolization turns out to be the choice treatment. The aim of this work is to describe two cases of angiomyolipomas treated by selective arterial embolization. Both patients are diagnosed with complicated renal angiomyolipoma with spontaneous rupture and hematoma. This type of tumor occurs rarely or as part of other congenital diseases. The most serious and common complication is intratumoral or retroperitoneal bleeding. Selective arterial embolization is an alternative to minimally invasive treatment and it is effective and safe when the patient mantains hemodynamic stability.


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