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Spontaneous rupture of a renal angiomyolipoma at 25 weeks of pregnancy treated with transarterial embolization: A case report and review of the literature
Author(s) -
Myoen Shingo,
Mitsuzuka Koji,
Saito Hideo,
Ota Hideki,
Takase Kei,
Arai Yoichi
Publication year - 2015
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12775
Subject(s) - medicine , pregnancy , embolization , radiology , fetus , angiography , gestational age , transarterial embolization , arterial embolization , gestation , surgery , obstetrics , genetics , biology
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.