ABSTRACT
This is a case of retroperitoneal hematoma and hypovolemic shock as a presentation of renal angiomyolipoma, a rarely benign and asymptomatic tumor. The massive and spontaneous bleeding of the tumor was diagnosed by an abdominal ecography and confirmed by an abdominal computer tomography in the emergency room. Although that kind of tumor needs non-aggressive treatment, as a general rule, because of the size and severity of the following symptoms, the patient has been submitted to a selective embolization of the renal mass when he was hemodinamically stabilized. The evolution was favorable; it was not necessary to do more aggressive surgical handling neither to urgently remove the angiomyolipoma.
Subject(s)
Angiomyolipoma/complications , Kidney Neoplasms/complications , Shock, Hemorrhagic/etiology , Aged , Female , HumansABSTRACT
Presentamos un caso de hematoma retroperitoneal y shock hipovolémico como forma de presentación de angiomiolipoma renal, tumor benigno poco frecuente y generalmente asintomático. El sangrado masivo y espontáneo del tumor, fue diagnosticado mediante la realización de ecografía abdominal y confirmado por TAC abdominal de urgencia. Pese a que el tratamiento de este tipo de tumores, en general, es conservador, el tamaño y la severidad de la clínica acompañante obligó a trasladar a la paciente, una vez estabilizada hemodinámicamente, a hospital de tercer nivel para realizar embolización selectiva de la masa renal. La evolución fue favorable sin necesidad de realizar maniobras quirúrgicas más agresivas ni extirpación del angiomiolipoma de forma urgente (AU)
This is a case of retroperitoneal hematoma and hypovolemic shock as a presentation of renal angiomyolipoma, a rarely benign and asymptomatic tumor. The massive and spontaneous bleeding of the tumor was diagnosed by an abdominal ecography and confirmed by an abdominal computer tomography in the emergency room. Although that kind of tumor needs non-aggressive treatment, as a general rule, because of the size and severity of the following symptoms, the patient has been submitted to a selective embolization of the renal mass when he was hemodinamically stabilized. The evolution was favorable; it was not necessary to do more aggressive surgical handling neither to urgently remove the angiomyolipoma (AU)
Subject(s)
Humans , Female , Middle Aged , Angiomyolipoma/complications , Angiomyolipoma/diagnosis , Angiomyolipoma/surgery , Shock, Hemorrhagic/complications , Shock, Hemorrhagic/diagnosis , Shock/complications , Embolization, Therapeutic/methods , Diagnosis, Differential , Nephrectomy/methods , Abdomen , Neurocutaneous Syndromes/complications , Urography/methods , Carcinoma/complicationsABSTRACT
No disponible
Subject(s)
Aged , Male , Humans , Calcinosis/diagnosis , Heart Aneurysm/diagnosis , Heart VentriclesABSTRACT
We present a case of kidney ecthopy in a 62 years old male patient, discovered by chance during complementary explorations realized in the diagnostic process of an acute respiratory pathology. We review the literature related to this anomaly: 200 cases have been published to the date. The thoracic kidney is a rare kind of kidney ecthopy, tipically without synomathology & it requires no treatment.
