Open AccessRenal angiomyolipoma with renal vein thrombosis: an incidental finding
Author(s) -
Elisa Abreu,
Teresa Margarida Cunha
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150218
Subject(s) - medicine , renal vein , nephrectomy , renal vein thrombosis , inferior vena cava , radiology , thrombosis , thrombus , surgery , kidney , angiomyolipoma , adipose capsule of kidney
A 66-year-old female with history of endometrioid endometrial carcinoma was admitted to our institution with abdominal and pelvic pain. A CT scan revealed a mass within the right upper kidney with a tumour thrombus that extended through the right renal vein up to the point of confluence with the inferior vena cava (IVC). The imaging features of the mass strongly suggested a diagnosis of renal angiomyolipoma (AML) with renal vein thrombosis. The patient was proposed an open radical right nephrectomy with right renal thrombectomy for histopathological confirmation of the diagnosis of AML with extension to the right renal vein and preventing complications such as potentially fatal pulmonary thromboembolism. The implantation of a temporary IVC filter before surgery was recommended.