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Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report
BACKGROUND: Spontaneous rupture and hemorrhage of renal angiomyolipoma (RAML) is a life-threatening clinical emergency. When it occurs during pregnancy, it is compared to a “bomb explosion,” which makes the diagnosis and treatment more challenging. An ultrasound examination is a quick and safe exami...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479563/ https://www.ncbi.nlm.nih.gov/pubmed/32953867 http://dx.doi.org/10.12998/wjcc.v8.i17.3875 |
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author | Zhang, Tong Xue, Shuai Wang, Zheng-Min Duan, Xiu-Mei Wang, Dong-Xuan |
author_facet | Zhang, Tong Xue, Shuai Wang, Zheng-Min Duan, Xiu-Mei Wang, Dong-Xuan |
author_sort | Zhang, Tong |
collection | PubMed |
description | BACKGROUND: Spontaneous rupture and hemorrhage of renal angiomyolipoma (RAML) is a life-threatening clinical emergency. When it occurs during pregnancy, it is compared to a “bomb explosion,” which makes the diagnosis and treatment more challenging. An ultrasound examination is a quick and safe examination with the benefit of no radiation exposure, which is always preferred for pregnant women. Currently, cases of spontaneous rupture and hemorrhage of RAML during pregnancy are rare, as is the diagnostic value and characteristics of ultrasound. The lack of understanding of the condition among ultrasound doctors makes it prone to misdiagnosis. In this study, we present the case of a pregnant woman who was preliminarily diagnosed with spontaneous rupture and hemorrhage of the left RAML using ultrasound and discuss the ultrasound characteristics. CASE SUMMARY: A 38-year-old woman in her 19(th) wk of pregnancy (G2P1) was referred to our clinic for a sudden, persistent pain on the left side of the waist. She had not undergone any previous related abdominal examination. Ultrasound of the urinary system revealed a giant nonhomogenous lump in the left kidney area. The diagnosis was considered spontaneous rupture and hemorrhage of the left RAML in pregnancy via ultrasound. Her left-side waist pain continued to be intense. Subsequently, she underwent computed tomography, which led to the same diagnosis. Based on many factors, the patient underwent left nephrectomy after the induction of labor. The pathological result was the rupture and hemorrhage of a vascular leiomyoma lipoma. CONCLUSION: Ultrasound examination plays an important role in the diagnosis of the spontaneous rupture and hemorrhage of RAML during pregnancy. |
format | Online Article Text |
id | pubmed-7479563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-74795632020-09-18 Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report Zhang, Tong Xue, Shuai Wang, Zheng-Min Duan, Xiu-Mei Wang, Dong-Xuan World J Clin Cases Case Report BACKGROUND: Spontaneous rupture and hemorrhage of renal angiomyolipoma (RAML) is a life-threatening clinical emergency. When it occurs during pregnancy, it is compared to a “bomb explosion,” which makes the diagnosis and treatment more challenging. An ultrasound examination is a quick and safe examination with the benefit of no radiation exposure, which is always preferred for pregnant women. Currently, cases of spontaneous rupture and hemorrhage of RAML during pregnancy are rare, as is the diagnostic value and characteristics of ultrasound. The lack of understanding of the condition among ultrasound doctors makes it prone to misdiagnosis. In this study, we present the case of a pregnant woman who was preliminarily diagnosed with spontaneous rupture and hemorrhage of the left RAML using ultrasound and discuss the ultrasound characteristics. CASE SUMMARY: A 38-year-old woman in her 19(th) wk of pregnancy (G2P1) was referred to our clinic for a sudden, persistent pain on the left side of the waist. She had not undergone any previous related abdominal examination. Ultrasound of the urinary system revealed a giant nonhomogenous lump in the left kidney area. The diagnosis was considered spontaneous rupture and hemorrhage of the left RAML in pregnancy via ultrasound. Her left-side waist pain continued to be intense. Subsequently, she underwent computed tomography, which led to the same diagnosis. Based on many factors, the patient underwent left nephrectomy after the induction of labor. The pathological result was the rupture and hemorrhage of a vascular leiomyoma lipoma. CONCLUSION: Ultrasound examination plays an important role in the diagnosis of the spontaneous rupture and hemorrhage of RAML during pregnancy. Baishideng Publishing Group Inc 2020-09-06 2020-09-06 /pmc/articles/PMC7479563/ /pubmed/32953867 http://dx.doi.org/10.12998/wjcc.v8.i17.3875 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Zhang, Tong Xue, Shuai Wang, Zheng-Min Duan, Xiu-Mei Wang, Dong-Xuan Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title | Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title_full | Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title_fullStr | Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title_full_unstemmed | Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title_short | Diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: A case report |
title_sort | diagnostic value of ultrasound in the spontaneous rupture of renal angiomyolipoma during pregnancy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479563/ https://www.ncbi.nlm.nih.gov/pubmed/32953867 http://dx.doi.org/10.12998/wjcc.v8.i17.3875 |
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