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Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report
Renal angiomyolipoma (AML) can grow and worsen during pregnancy. Sporadic classic variant renal AML with tumor thrombus in the renal vein and inferior vena cava (IVC) during pregnancy is rare. We report a case of complex surgical treatment during pregnancy with normal childbirth. A 27-year-old woman...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214968/ https://www.ncbi.nlm.nih.gov/pubmed/32420188 http://dx.doi.org/10.21037/tau.2019.12.43 |
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author | Zhang, Zhenan Liu, Zhe Yao, Lin Zhang, Qian He, Zhisong |
author_facet | Zhang, Zhenan Liu, Zhe Yao, Lin Zhang, Qian He, Zhisong |
author_sort | Zhang, Zhenan |
collection | PubMed |
description | Renal angiomyolipoma (AML) can grow and worsen during pregnancy. Sporadic classic variant renal AML with tumor thrombus in the renal vein and inferior vena cava (IVC) during pregnancy is rare. We report a case of complex surgical treatment during pregnancy with normal childbirth. A 27-year-old woman with bilateral AML was faced with large asymptomatic AML and IVC thrombus at 24 weeks of gestation. The magnetic resonance imaging showed that the tumor thrombus had fatty signal. The tumor and IVC thrombus were treated by laparoscopic nephrectomy and open tumor thrombectomy during pregnancy. The patient underwent term spontaneous vaginal delivery at 39 weeks of gestation smoothly and the neonate was in good health. Successful retroperitoneal laparoscopic nephrectomy with open tumor thrombectomy during pregnancy is possible in dealing with invasive renal AML for pregnant patients. Renal AML requires close follow-up during pregnancy. And detailed consult with urologists is necessary before pregnancy. |
format | Online Article Text |
id | pubmed-7214968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-72149682020-05-15 Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report Zhang, Zhenan Liu, Zhe Yao, Lin Zhang, Qian He, Zhisong Transl Androl Urol Case Report Renal angiomyolipoma (AML) can grow and worsen during pregnancy. Sporadic classic variant renal AML with tumor thrombus in the renal vein and inferior vena cava (IVC) during pregnancy is rare. We report a case of complex surgical treatment during pregnancy with normal childbirth. A 27-year-old woman with bilateral AML was faced with large asymptomatic AML and IVC thrombus at 24 weeks of gestation. The magnetic resonance imaging showed that the tumor thrombus had fatty signal. The tumor and IVC thrombus were treated by laparoscopic nephrectomy and open tumor thrombectomy during pregnancy. The patient underwent term spontaneous vaginal delivery at 39 weeks of gestation smoothly and the neonate was in good health. Successful retroperitoneal laparoscopic nephrectomy with open tumor thrombectomy during pregnancy is possible in dealing with invasive renal AML for pregnant patients. Renal AML requires close follow-up during pregnancy. And detailed consult with urologists is necessary before pregnancy. AME Publishing Company 2020-04 /pmc/articles/PMC7214968/ /pubmed/32420188 http://dx.doi.org/10.21037/tau.2019.12.43 Text en 2020 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Case Report Zhang, Zhenan Liu, Zhe Yao, Lin Zhang, Qian He, Zhisong Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title | Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title_full | Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title_fullStr | Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title_full_unstemmed | Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title_short | Surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
title_sort | surgical management of angiomyolipoma with vena cava thrombus during pregnancy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214968/ https://www.ncbi.nlm.nih.gov/pubmed/32420188 http://dx.doi.org/10.21037/tau.2019.12.43 |
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