Emergency embolization of a bleeding renal angiomyolipoma using polyvinyl alcohol particles.
Angiomyolipomas (AMLs) are hamartomatous lesions consisting of abnormal blood vessels, smooth muscle, and adipose tissue. Bilateral AMLs invariably point to a diagnosis of tuberous sclerosis complex (TSC). The risk of hemorrhage in AML is related to tumor size, growth of the tumor, hypervascularization, presence of aneurysms, and association with TSC. We report a case of a young male who presented with painless hematuria. He was diagnosed with bilateral renal AMLs on ultrasonography and computed tomography. The large bleeding lesions were identified by renal angiography and selectively embolized using polyvinyl alcohol particles. To the best of our knowledge, isolated use of polyvinyl alcohol particles has not been previously reported.
Bora
Anjumara
A
Department of Radiology and MRI, Dr Balabhai Nanavati Hospital and Research Center, Mumbai, India.
Soni
Abhijit
A
Sainani
Nisha
N
Patkar
Deepak
D
D000328:Adult; D018207:Angiomyolipoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D004621:Embolization, Therapeutic; D004638:Emergency Treatment; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008297:Male; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D012597:Sclerosing Solutions / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D012597:Sclerosing Solutions; D011142:Polyvinyl Alcohol