Document Detail


Conservative management of a bleeding renal angiomyolipoma in pregnancy.
MedLine Citation:
PMID:  16449160     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Bleeding angiomyolipomas in pregnancy are rare but may be devastating and potentially fatal. In previous cases, most of these lesions have been managed with urgent nephrectomy or embolization. Only one other case report describes treating these lesions through conservative management and vaginal delivery. CASE: A 32-year-old woman with known bilateral angiomyolipomas presented at 39 weeks of gestation with acute onset left flank pain. The ultrasound result was consistent with a bleeding angiomyolipoma. The patient was otherwise hemodynamically stable and was managed safely in a conservative outpatient approach that consisted of close clinic follow-up, serial hemoglobins, ultrasound studies, and vaginal delivery. CONCLUSION: Bleeding angiomyolipomas in pregnancy were managed successfully through conservative management and vaginal delivery.
Authors:
Douglas W Storm; Joseph J Mowad
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  107     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-01     Completed Date:  2006-04-04     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  490-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, Geisinger Medical Center, Danville, Pennsylvania 17822, USA. dwstorm@geisinger.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiomyolipoma / complications,  therapy*
Female
Hemorrhage / etiology
Humans
Kidney Neoplasms / complications,  therapy*
Pregnancy
Pregnancy Complications, Neoplastic / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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