Wunderlich‘s syndrome in patient with sporadic bilateral angiomyolipomas – case report
Authors:
H. Shaikh 1; B. Nechanská 2
Authors‘ workplace:
Urologické oddělení, Oblastní nemocnice Kladno, a. s.
1; Urologické oddělení, Oblastní nemocnice Mladá Boleslav, a. s.
2
Published in:
Rozhl. Chir., 2020, roč. 99, č. 12, s. 548-551.
Category:
Case Report
Overview
We present the case report of bilateral renal angiomyolipomas in a 70-year-old patient. Spontaneous bleeding into the retroperitoneum and hemodynamic instability required an acute surgical revision with a left-sided nephrectomy. The contralateral angiomyolipoma was selectively embolized in the second period and subsequently resected.
Keywords:
angiomyolipoma − spontaneous rupture − retroperitoneal bleeding − Wunderlich syndrome − tuberous sclerosis
Sources
- Teplan V. a kol. Praktická nefrologie. Praha, Grada Publishing 2006:267.
- Eble JN. Angiomyolipoma of kidney. Seminars in Diag Pathol. 1998;15(1):21–40.
- Lamla A, Pernička J. Benigní nádory ledvin. Urologie pro Praxi 2003;3:90–93.
- Wiliams RD, Dreicer R. Renal parenchymal neoplasms. In: Tanagho EA, McAninch WJ. Smiths general urology, XIX. ed., PrenticeHall Intern. Inc, 1995:372–374.
- Wong K, Waters CM, Hershman MJ, et al. Angiomyolipoma of the kidney: a clinical enigma in diagnosis and management. Annals of the Royal College of Surg Of Engl. 1992:144–148.
- Kawaciuk I. Nádory ledvin. In: Urologie Praha, Galén 2009:340.
- Ürge T, Pitra T, Chudáček Z, et al. Nové trendy v léčbě renálního angiomyolipomu. Ces Urol. 2015;19(2):106–117.
- Oon FS, Murphy M, Connolly SS. Wunderlich syndrome as the first manifestation of renal cell carcinoma. Urol J. 2010;7(2):129–132.
- Stránský P, Chudáček Z, Havel V, et al. Možnosti intervenční radiologie při léčbě nádorů ledvin. Ces Urol. 2012;16(1):50–57.
- Lohle PNM, Higué D, Herbreteau D. Uterine artery embolisation in women with symptomatic uterine fibroids. La Presse Médicale 2019;48(4):440–446. doi: 10.1016/j.lpm.2019.03.012.
- Omodon M, Auuba G, Patel IJ. Review of renal artery embolization for treatment of renal angiomyolipoma. Clinical Nephrology and Urology Science 2016;3(1). doi: 10.7243/2054-7161-3-1.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2020 Issue 12
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