[Rupture of renal angiomyolipoma during pregnancy: a case report].
A 39-year-old woman, who was followed because of a 4 cm asymptomatic angiomyolipoma (AML) in the left kidney, presented with an acute onset of lower left back pain in the 38th week of her first pregnancy. An ultrasound revealed an 8 cm mass suggestive of AML rupture and retroperitoneal hemorrhage. An emergency caesarean delivery was performed. A post-delivery computed tomographic scan confirmed the AML rupture and selective embolization was performed. This was a case in which the AML grew rapidly during the pregnancy ; therefore, we discuss the relationship between AML and pregnancy.
The Department of Urology, Chigasaki City Hospital, Japan.
Mitsuru
M
Komeya
Tatsuya
T
Matsumoto
Kiyoshi
K
Fujinami
Yutaka
Y
Senga
Tomoyuki
T
Asakura
Akihiko
A
Goto
D000328:Adult; D018207:Angiomyolipoma / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D002585:Cesarean Section; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology* / Q000628:therapy; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous