Document Detail

Conservative management of a retroperitoneal hemorrhage following a ruptured renal angiomyolipoma in pregnancy.
MedLine Citation:
PMID:  21159033     Owner:  NLM     Status:  MEDLINE    
Retroperitoneal hemorrhage following ruptured renal angiomyolipoma is usually managed surgically or by embolization. But when the same episode occurs in pregnancy, surgery which predisposes to preterm delivery and its subsequent sequelae, the unknown influences of radiation exposure on the fetus makes the management of such cases very challenging. A 21-year-old woman was seen in the emergency unit at the 25th week of her pregnancy with complaints of sudden onset left flank pain radiating to the back, nausea and hematuria. Abdominal magnetic resonance imaging (MRI) revealed masses consistent with angiomyolipoma in the upper pole of the left kidney with evidence of recent bleeding and the center of the right kidney measuring 11.5 × 9.5 cm and 3.5 cm, respectively. The patient received three units of red blood cell concentrate due to fall in hematocrit level resulting in hemodynamically stable condition until term. At term, an infant weighing 3510 g was delivered through elective cesarean section. To avoid iatrogenic preterm delivery and unnecessary fetal exposure to radiation, conservative management of ruptured angiomyolipoma in pregnancy may be considered as a treatment option in hemodynamically stable patients.
Adam O Gyimadu; Ozgur Kara; Derman Basaran; Ibrahim Esinler
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-12-16
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  37     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-08-01     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  156-9     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
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MeSH Terms
Angiomyolipoma / diagnosis*,  therapy*,  urine
Hematuria / diagnosis,  therapy
Hemorrhage / diagnosis*,  therapy*
Kidney Neoplasms / diagnosis*,  therapy*,  urine
Pregnancy Complications, Neoplastic / diagnosis*,  therapy*,  urine
Rupture, Spontaneous
Treatment Outcome
Young Adult

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