| Angiomyolipoma with vascular invasion during pregnancy. | |
| | |
MedLine Citation:
|
PMID: 22023947 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Angiomyolipoma (AML) is a rare, benign tumor composed of fat cells, smooth muscle cells, and blood vessels. They are commonly found in the kidney but have also been reported to occur in the liver, ovary, fallopian tube, spermatic cord, palate, and colon. Most often, they are discovered as an incidental finding on computed tomography scan and remain inconsequential; however, certain characteristics such as size, presence of aneurysms, and location can transform this disease process into a life-threatening entity. Here, we describe the case of a 30-year-old pregnant woman with bilateral renal AMLs in which there was invasion of the right renal vein and extension of the tumor into the inferior vena cava. The patient was believed to be at significant risk of hormone-mediated rapid expansion, embolization, and life-threatening pulmonary embolus during the pregnancy and was taken to the operating room for right nephrectomy and removal of the tumor from the vena cava. We report the first case of elective nephrectomy with the removal of the tumor from vena cava complicating pregnancy. The major risks of rupture, spontaneous hemorrhage, renal failure, and tumor thrombus were avoided, thereby demonstrating that despite pregnancy, successful surgery can be performed during the second trimester for the management of complicated AMLs. |
| | |
Authors:
|
Cara Govednik-Horny; Marvin Atkins |
Related Documents
:
|
2803787 - Cystadenofibroma of fallopian tube. 9675597 - Extrauterine (tubal) placental site nodule. 15636847 - Black rubber or clear plastic delivery tubing for nitrous oxide: patient preference. 1407927 - Morning sickness control in early pregnancy by neiguan point acupressure. 1992397 - Risk factors for shoulder dystocia: an engineering study of clinician-applied forces. 19767537 - Resistance artery adaptation to pregnancy counteracts the vasoconstricting influence of... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Annals of vascular surgery Volume: 25 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-10-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1138.e9-1138.e13 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of General Surgery, Texas A & M/Scott and White, Temple, Texas. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Single-incision external iliac artery endarterectomy and patch angioplasty.
Next Document: Thoracic mural thrombi: a case series and literature review.