Renal angiomyolipoma with IVC thrombus: A case report
| Autor: | Rahgid El Khoury, Pietro Kheir, Charbel El Hachem, Maher Abdessater, Nabil Tawil, Rody Akiel, Joey El Khoury |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Angiomyolipoma medicine.medical_treatment urologic and male genital diseases Inferior vena cava Article law.invention Lesion 03 medical and health sciences 0302 clinical medicine law Case report medicine Cardiopulmonary bypass Thrombus Renal sinus Kidney business.industry medicine.disease Nephrectomy medicine.anatomical_structure medicine.vein 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • The occurrence of venous invasion in patients with renal angiomyolipoma is a rare and unique phenomenon. • CT scan is the imaging of choice in case of invasion of vena cava. • Collaboration of the urologist and the vascular surgeon is sometimes mandatory for optimal surgical treatment. Introduction Renal angiomyolipomas (AML) are often regarded as benign tumors. This article reports the case of a 47 year old patient with AML associated with a venous invasion of the inferior vena cava. Presentation of case Our 47 year old male patient presented for flank pain and hematuria. CT Scan revealed a 3 cm lobulated low-density lesion in the renal sinus, middle and upper lobes of the right kidney, with evidence of IVC thrombus on angioscan. Right radical nephrectomy and thrombectomy were successfully done with use of cardiopulmonary bypass. On pathology, AML was confirmed. Discussion Renal AML are unilateral and sporadic in most cases, with a female predominance. The occurrence of venous invasion in patients with AML is a rare and unique phenomenon. CT scan is the imaging of choice in such cases and surgery remains the optimal treatment. Conclusion More focus should be put on the ability of AML to invade venous structures. Early imaging and therapeutic planning are necessary for the best outcome in case of vena cava invasion. Collaboration of the urologist with the vascular surgeon can lead to better surgical results. |
| Databáze: | OpenAIRE |
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