Document Detail

Conservative management and vaginal delivery following ruptured renal angiomyolipoma.
MedLine Citation:
PMID:  11704209     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Rupture of a renal angiomyolipoma during pregnancy is rare and occasionally fatal. Usually emergency nephrectomy is required, with cesarean simultaneously in patients at 28 weeks' gestation or later. We have been unable to find reports of cases in which conservative treatment for a ruptured angiomyolipoma was followed by successful vaginal delivery. CASE: A woman experienced retroperitoneal hemorrhage resulting from angiomyolipoma rupture at 27 weeks. She was managed conservatively and subsequently delivered vaginally after induction at 38 weeks. The tumor was treated by embolization postpartum. CONCLUSION: Successful vaginal delivery in a pregnant woman with a ruptured angiomyolipoma is possible under strict monitoring of the maternal and fetal status.
M Tanaka; S Kyo; M Inoue; T Kojima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  98     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-11-12     Completed Date:  2001-12-05     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  932-3     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynaecology, School of Medicine, Kanazawa University, Kanazawa, Japan.
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MeSH Terms
Angiomyolipoma / pathology,  therapy*
Delivery, Obstetric
Kidney / pathology
Kidney Neoplasms / pathology,  therapy*
Pregnancy Complications, Neoplastic / pathology,  therapy*
Rupture, Spontaneous

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