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: 22 dec. 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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References

1. Bissler JJ, Kingswood JC. Renal angiomyolipomata. Kidney Int. 2004; 66:924–934.

2. Dabbeche C, Chaker M, Chemali R. Role of embolization in renal angiomyolipomas. J Radiol. 2006; 87:1859–1867.

3. Eble JN. Angiomyolipoma of kidney. Semin Diagn Pathol. 1998;15(1):21-40. PMID: 9503504.

4. Fittschen A, Wendlik I, Oeztuerk S, et al. Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in- and out-patients. Abdom Imaging. 2014; 39:1009–1013. doi:10.1007/s0026 1-014-0129-6.

5. Dickinson M, Ruckle H, Beaghler M, Hadley HR. Renal angiomyolipoma: optimal treatment based on size and symptoms. Clin Nephrol. 1998;49(5): 281-286. PMID: 9617489.

6. Hatano T, Egawa S. Renal angiomyolipoma with tuberous sclerosis complex: How it differs from sporadic angiomyolipoma in both management and care. Asian J Surg. 2020;43(10):967-972. doi: 10.1016/j.asjsur.2019.12.008. PMID: 31959574.

7. Kurosaki Y, Tanaka Y, Kuramoto K. Improved C.T. fat detection in small kidney angiomyolipomas using thin sections and single voxel measurements. J Comput Assist Tomogr. 1993; 17:745–748.

8. Lemaitre L, Claudon M, Dubrulle F. Imaging of angiomyolipomas. Seminars in ultrasound, C.T. and M.R.I.

9. Khaitan A, Hemal AK, Seth A. Management of renal angiomyoplipoma in complex clinical situations. Urol Int. 2001; 67:28–33.

10. Radeleff BA, Heye T, Lopez-Benitez R. Interventional management of acute bleeding giant renal angiomyolipoma: Report of three cases and review of the literature. Euro J Radiol Extra. 2007; 61:119–128.

11. Sung CK, Hwang SS, Park BK. Management of renal angiomyolipoma: current status and future direction. J Korean Med Sci. 2012;27(9):1105-1115.

12. Teichgraber KMU, Bucourt DM. Massive retroperitoneal hemorrhage from a giant renal angiomyolipoma treated by selective arterial embolization with an Amplatzer Vascular Plug II. Acta Radiol Short Rep. 2012; 1:8.

13. Rosenov A, Schindewolf M, Baumgartner I. Selective arterial embolizations of renal angiomyolipomas using 96% ethanol: a case series of 5 patients. Clinical Medicine Insights: Case Reports. 2020; 13:1–7.

14. Wang C, Yang M, Tong X. Transarterial embolization for renal angiomyolipomas: a single center experience in 79 patients. J Int Med Res. 2017; 45:706–713.

15. Patil AR, Chandra R, Gupta A, Thukral BB. Giant aneurysm formation in sporadic renal angiomyolipoma. J Radiol Case Rep 2010;4(6):21-27. 10.3941/jrcr.v4i6.439

16. Al Omran B, Ansari N. Aneurysm in a large sporadic renal angiomyolipoma. Oman Med J. 2016;31(3):223-226. doi:10.5001/omj.2016.42. PMID: 27162594; PMCID: PMC4852083.

17. Yamakado K, Tanaka N, Nakagawa T, et al. Renal angiomyolipoma: relationships between tumor size, aneurysm formation, and rupture. Radiology. 2002;225(1):78-82. doi:10.1148/radiol. 2251011477. PMID: 12354988.

18. Parameswaran B, Khalid M, Malik N. Wunderlich syndrome following rupture of a renal angiomyolipoma. Ann Saudi Med. 2006;26(4):310-312. doi:10.5144/0256-4947.2006.310. PMID: 168 85633; PMCID: PMC6074510

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