Selective endovascular embolization for the treament of ruptured renalangiomyolipoma: A case report

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Abstract

Angiomyolipoma (AML) is the most common benign mesenchymal tumor of the kidney. Currently, with advances in diagnostic imaging and widespread application of ultrasound and computed tomography, the accidental diagnosis of asymptomatic AML is increasingly common. retroperitoneal bleeding secondary to AML rupture can be serious and life - threatening. Treatment of such complication includes conservative treatment, total or partial nephrectomy, renal artery embolization... Today, renal
artery embolization is recommended as the first choice for AML bleeding and is increasingly being used for the prophylaxis of AML at risk of bleeding.We present a 40 - year - old female patient wasadmitted to the emergency room with sudden right  flank pain, found to have a ruptured right AML causing a perirenal hematoma and treated with selective renal artery embolization. Twelve days after the operation, the patient was stable and discharged from the hospital. Follow-up abdominal CT scan
at 1 - and 4 - month intervals showed a marked decrease in tumor size

https://doi.org/10.38103/jcmhch.76.6

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Published 01-01-2025
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Language
Issue No. 76 (2022)
Section Case report
DOI 10.38103/jcmhch.76.6
Keywords Nút mạch, nút mạch thận, RAE, nút mạch thận chọn lọc, u cơ mỡ mạch, AML Embolization, renal artery embolization, RAE, selective renal artery embolization, angiomyolipoma, AML

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Pham, N. H., Hoang, V. T., Truong, V. C., Nguyen, K. T., Phan, H. Q. V., Nguyen, V. Q. A., … Le, D. C. (2025). Selective endovascular embolization for the treament of ruptured renalangiomyolipoma: A case report. Journal of Clinical Medicine Hue Central Hospital, (76), 5–10. https://doi.org/10.38103/jcmhch.76.6