Multidisciplinary Approach to a Complicated Renal Angiomyolipoma: A Case Report Review

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Published Oct 22, 2024
DOI: https://doi.org/10.18103/mra.v12i10.5880

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Main Article Content

Issa A. Kawalit
Department of Nephrology, Royal Bahrain Hospital, Bahrain.
Zeina H. Kalaji
Department of Medicine, University of Jordan, Amman, Jordan.
Ahmed M. Ibrahim
Department of Interventional Radiology, Royal Bahrain Hospital, Bahrain.
Erfai M. Emtair
Department of Urology, Royal Bahrain Hospital, Bahrain.
Laith F. Al-Rabadi
Department of Nephrology, University of Utah Hospital, UT, USA.

Abstract

Angiomyolipoma (AML) is a benign kidney tumor composed of fat tissue, smooth muscle cells, and significant neovascularization, which can lead to spontaneous hemorrhage, causing hematuria and/or retroperitoneal hematoma with back pain. While nephrectomy can be a first-line treatment, embolization is an effective, less invasive alternative. We present a 41-year-old male admitted with left flank pain. Initial ultrasound revealed a heterogeneous hyperechoic mass in the right kidney, and subsequent CT showed a right renal AML with an arterial aneurysm and perirenal fat hematoma. Despite initial hemodynamic stability, a drop in hemoglobin levels necessitated urgent intervention. Interventional radiology performed endovascular embolization with microparticles and coils, resulting in successful devascularization. This case report discusses the clinical presentation, diagnostic workup, treatment strategy, and successful outcome of this complex case.

Keywords: Angiomyolipoma, kidney, embolization

Article Details

How to Cite
KAWALIT, Issa A. et al. Multidisciplinary Approach to a Complicated Renal Angiomyolipoma: A Case Report Review. Medical Research Archives, [S.l.], v. 12, n. 10, oct. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5880>. Date accessed: 15 nov. 2024. doi: https://doi.org/10.18103/mra.v12i10.5880.
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Issue
Vol 12 No 10 (2024): October Issue, Issue 10, VOl.12
Section
Case Reports

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