Giant renal angiomyolipoma with fatal hemorrhage due to a large pseudoaneurysm.

Autor: Gaikwad AB; Department of Ultrasound, Medical Trust Hospital, M.G. Road, Kochi 682016, India., Madathil MB, Kothari AS
Jazyk: angličtina
Zdroj: Journal of clinical ultrasound : JCU [J Clin Ultrasound] 2008 Mar-Apr; Vol. 36 (3), pp. 174-6.
DOI: 10.1002/jcu.20387
Abstrakt: We report a case of giant renal angiomyolipoma (AML) with a large pseudoaneurysm causing fatal hemorrhage. A 60-year-old woman presented with right-sided abdominal pain. Sonographic examination revealed a large hyperechoic renal mass. CT examination of the abdomen revealed a 15-cm AML of the right kidney with a large hemorrhagic area within it. Subsequent color Doppler examination revealed a 2.9-cm pseudoaneurysm arising from the upper segmental branch of the right renal artery. The patient, who was about to undergo transcatheter embolization of the pseudoaneurysm, died from cardio-respiratory arrest. The autopsy findings confirmed a large right renal AML containing a thrombosed pseudoaneurysm and a large perinephric hematoma.
((Copyright) 2007 Wiley Periodicals, Inc.)
Databáze: MEDLINE