Spontaneous rupture of a renal angiomyolipoma at 25 weeks of pregnancy treated with transarterial embolization: A case report and review of the literature. (16th April 2015)

• Record Type: Journal Article
• Authors: Myoen, Shingo; Mitsuzuka, Koji; Saito, Hideo; Ota, Hideki; Takase, Kei; Arai, Yoichi
• Is Part Of: International journal of urology. Volume 22:Number 7(2015)
• Page Start: 710
• Page End: 712
• Publication Date: 2015-04-16
• Subjects: Urology -- Periodicals; Genitourinary organs -- Periodicals; Urologic Diseases -- Periodicals; 616.6005
• DOI: 10.1111/iju.12775
• Languages: English
• ISSNs: 0919-8172

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>Treatment for ruptured renal angiomyolipoma in pregnancy requires immediate and appropriate decision‐making based on the condition of the mother and fetus, and gestational age. A 37‐year‐old woman at 25 weeks of pregnancy presented with severe right flank pain. Computed tomography showed a ruptured right renal angiomyolipoma (8 cm in diameter). The maternal and fetal conditions were stable. Transcatheter arterial embolization was carried out electively 4 days after the rupture. Minimization of radiation exposure to the fetus was achieved by X‐ray shielding for the fetus, low‐dose‐rate fluoroscopy, minimal angiography imaging and a color Doppler ultrasonography‐guided procedure. Although threatened premature labor occurred because of post‐embolization syndrome, the pregnancy was continued until cesarean section at 37 weeks of pregnancy.</p> </abstract>