Urgent angioembolization with early elective nephron-sparing surgery for spontaneously ruptured renal angiomyolipoma.
Tumor rupture with hemorrhage is a severe complication of renal angiomyolipoma. Urgent transcatheter arterial embolization is an effective method for the patient suffering from life-threatening hemorrhage due to ruptured angiomyolipoma. Elective surgery has been suggested because of the possibility of rebleeding or abscess formation after embolization. However, it is not easy to perform a nephron-sparing procedure by delayed elective surgery due to severe tissue adhesion after bleeding. Herein, we report 2 cases of ruptured renal angiomyolipoma initially managed with transcatheter arterial embolization. Nephron-sparing surgery was performed a few days after embolization, before tissue adhesion occurred. Both kidneys were preserved, and the postoperative course was uneventful.
Jou
Yeong-Chin
YC
Department of Urology, Chiayi Christian Hospital, Chiayi, Taiwan, R.O.C. b729@cych.org.tw
Chen
Wen-Pin
WP
Huang
Chun-Lin
CL
D018207:Angiomyolipoma / Q000150:complications / Q000601:surgery*; D017558:Elective Surgical Procedures; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D009399:Nephrons / Q000601:surgery*; D012422:Rupture, Spontaneous