[Hemorrhagic tuberous sclerosis. Report of a Jehovah Witness patient].
We report a 26 years old male with a tuberous sclerosis with multiple and bilateral kidney cysts and angiomyolipomas. The patient presented to the emergency room with a severe abdominal pain and anemia, secondary to a bleeding angiomyolipoma. The patient rejected blood transfusions due to his religious beliefs. A selective angiography was performed confirming diagnosis and the lesion artery was selectively embolized, stopping the bleeding immediately. The patient had a satisfactory evolution thereafter. This is a rare lesion and the fact that the patient was a Jehovah witness that rejected blood transfusions, required an innovative medical approach.
Azócar
G
G
Unidade de Urología, Clínica Santa María, Santiago de Chile. gazocar@mailnet.rdc.cl
Castillo
O
O
Van Cauwelaert
R
R
Aguirre
C
C
Wöhler
C
C
Wash
A
A
D000328:Adult; D018207:Angiomyolipoma / Q000150:complications*; D002835:Christianity; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy; D007680:Kidney Neoplasms / Q000150:complications*; D008297:Male; D007690:Polycystic Kidney Diseases / Q000628:therapy; D014402:Tuberous Sclerosis / Q000628:therapy*