Wunderlich Syndrome Managed with Angiomyolipoma Embolization - Renal Artery Anatomic Variant Augmenting Safe and Nephron-Sparing Intervention.
| Autor: | Tripathy TP; Department of Radiodiagnosis, AIIMS, Bhubaneswar, India., Alagappan A; Department of Radiodiagnosis, AIIMS, Bhubaneswar, India., Patel R; Department of Radiodiagnosis, AIIMS, Bhubaneswar, India., Behera SK; Department of Medicine, AIIMS, Bhubaneswar, India., Sandip Kumar P; Department of Nephrology, AIIMS, Bhubaneswar, India., Naik S; Department of Radiodiagnosis, AIIMS, Bhubaneswar, India. |
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| Jazyk: | angličtina |
| Zdroj: | Acta medica Lituanica [Acta Med Litu] 2024; Vol. 31 (1), pp. 22-26. Date of Electronic Publication: 2024 Feb 27. |
| DOI: | 10.15388/Amed.2024.31.1.3 |
| Abstrakt: | Background: Wunderlich syndrome is an uncommon entity characterized by spontaneous, nontraumatic renal bleeding into the subcapsular and perirenal regions. The most frequent benign tumor, angiomyolipoma, is the most common cause of Wunderlich syndrome. Case Presentation: We report a case of Wunderlich syndrome in angiomyolipoma. Intratumoral pseudoaneurysm arising from feeders of an accessory renal artery supplying the lower pole of the kidney was selectively embolized. Rarely does a sporadic renal angiomyolipoma develop a giant pseudoaneurysm. Conclusion: Transarterial embolization is imperative to control the bleeding or as a preventative measure to reduce the risk of intralesional pseudoaneurysm rupture. When vascular interventional facilities are unavailable, surgery may be necessary. (Copyright © 2024 Tara Prasad Tripathy, Alamelu Alagappan, Ranjan Patel, Srikant Kumar Behera, Sandip Kumar Panda, Suprava Naik. Published by Vilnius University Press.) |
| Databáze: | MEDLINE |
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