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DOI: 10.1055/s-0036-1593156
Spontaneous rupture of renal angiomyoplipoma in early pregnancy: a case report
Introduction: Renal angiomyolipoma is a benign tumor composed of adipocytes, smooth muscle cells and blood vessels. There is little information about its association with pregnancy but consequences can be occasionally fatal.
Case: A 38-year old multiparous presented herself with an episode of sudden and severe pain in the left flank in 11th weeks of pregnancy. She was diagnosed with an acute retroperitoneal haemorrhagia from a ruptured renal angiomyolipoma with consecutive hemodynamically instability (hemoglobin 67 g/l) She was treated successfully by angiographic embolization of two segment arteries of the left kidney. The further pregnancy was uneventful although there were remaining tumors on both sides. She delivered vaginally a healthy baby boy after induction at 38th weeks.
Conclusion: Embolization of renal angiomyolipoma bleeding vessels during pregnancy can be an effective therapy to treat acute bleeding and to avoid surgery. The radiation exposure to the fetus should be well documented but it is no general indication for an abortion. Vaginal delivery is possibly under clinical conditions with close maternal and fetal monitoring.