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A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia

Angiomyolipoma (AML) is a benign renal mesenchymal tumor. Active surveillance is considered the most appropriate option for most AMLs. The major complication of AML is its spontaneous bleeding in the retroperitoneum that could be life-threatening for the patient. In this case, acute bleeding from a...

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Autores principales: Ripa, Francesco, Rocchini, Lorenzo, Boeri, Luca, Montanari, Emanuele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574286/
https://www.ncbi.nlm.nih.gov/pubmed/33102117
http://dx.doi.org/10.1016/j.eucr.2020.101420
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author Ripa, Francesco
Rocchini, Lorenzo
Boeri, Luca
Montanari, Emanuele
author_facet Ripa, Francesco
Rocchini, Lorenzo
Boeri, Luca
Montanari, Emanuele
author_sort Ripa, Francesco
collection PubMed
description Angiomyolipoma (AML) is a benign renal mesenchymal tumor. Active surveillance is considered the most appropriate option for most AMLs. The major complication of AML is its spontaneous bleeding in the retroperitoneum that could be life-threatening for the patient. In this case, acute bleeding from a sporadic AML was reported immediately after the induction of a 12 mmHg pneumoperitoneum during a planned laparoscopic resection of the rectum for oncological reasons. After immediate stabilization the patient underwent angiography of the renal artery and super-selective vascular embolization. Although rare, spontaneous rupture of asymptomatic AML should always be considered, especially in intraoperative setting.
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spelling pubmed-75742862020-10-23 A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia Ripa, Francesco Rocchini, Lorenzo Boeri, Luca Montanari, Emanuele Urol Case Rep Oncology Angiomyolipoma (AML) is a benign renal mesenchymal tumor. Active surveillance is considered the most appropriate option for most AMLs. The major complication of AML is its spontaneous bleeding in the retroperitoneum that could be life-threatening for the patient. In this case, acute bleeding from a sporadic AML was reported immediately after the induction of a 12 mmHg pneumoperitoneum during a planned laparoscopic resection of the rectum for oncological reasons. After immediate stabilization the patient underwent angiography of the renal artery and super-selective vascular embolization. Although rare, spontaneous rupture of asymptomatic AML should always be considered, especially in intraoperative setting. Elsevier 2020-09-21 /pmc/articles/PMC7574286/ /pubmed/33102117 http://dx.doi.org/10.1016/j.eucr.2020.101420 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Oncology
Ripa, Francesco
Rocchini, Lorenzo
Boeri, Luca
Montanari, Emanuele
A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title_full A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title_fullStr A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title_full_unstemmed A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title_short A case of acute bleeding from a small, asymptomatic renal angiomyolipoma (AML) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
title_sort case of acute bleeding from a small, asymptomatic renal angiomyolipoma (aml) during pneumoperitoneum induction for a rectal tumor resulting in acute hematuria and anemia
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574286/
https://www.ncbi.nlm.nih.gov/pubmed/33102117
http://dx.doi.org/10.1016/j.eucr.2020.101420
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