Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report
<p>Abstract</p> <p>Renal angiomyolipomata usually present as incidental findings on routine imaging, but rarely they may give rise to significant haemorrhage. If bleeding occurs, first-line treatment is currently angiography with selective embolisation. Prophylactic embolisation ma...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-09-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/1/1/82 |
| _version_ | 1828745491005833216 |
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| author | Wajed Julekha R Taylor-Robinson Simon D Jackson James E Stamp Gordon WH |
| author_facet | Wajed Julekha R Taylor-Robinson Simon D Jackson James E Stamp Gordon WH |
| author_sort | Wajed Julekha R |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Renal angiomyolipomata usually present as incidental findings on routine imaging, but rarely they may give rise to significant haemorrhage. If bleeding occurs, first-line treatment is currently angiography with selective embolisation. Prophylactic embolisation may be considered in some cases, depending on lesion size and patient co-morbidities.</p> <p>We present a case of retroperitoneal bleeding from a renal angiomyolipoma in a patient with known cirrhosis of the liver, which caused acute deterioration of liver function and consequent hepatic encephalopathy. Selective embolisation of the lesion was performed with a good subsequent outcome. Such functional hepatic decompensation has not previously been reported in this context and we suggest the use of prophylactic embolisation for incidental renal angiomyolipomata, regardless of size, in all patients with chronic liver disease to prevent this potentially life-threatening complication.</p> |
| first_indexed | 2024-04-14T04:04:16Z |
| format | Article |
| id | doaj.art-df88462d7a204b3eb5ccea989203bfeb |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-14T04:04:16Z |
| publishDate | 2007-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-df88462d7a204b3eb5ccea989203bfeb2022-12-22T02:13:25ZengBMCJournal of Medical Case Reports1752-19472007-09-01118210.1186/1752-1947-1-82Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case reportWajed Julekha RTaylor-Robinson Simon DJackson James EStamp Gordon WH<p>Abstract</p> <p>Renal angiomyolipomata usually present as incidental findings on routine imaging, but rarely they may give rise to significant haemorrhage. If bleeding occurs, first-line treatment is currently angiography with selective embolisation. Prophylactic embolisation may be considered in some cases, depending on lesion size and patient co-morbidities.</p> <p>We present a case of retroperitoneal bleeding from a renal angiomyolipoma in a patient with known cirrhosis of the liver, which caused acute deterioration of liver function and consequent hepatic encephalopathy. Selective embolisation of the lesion was performed with a good subsequent outcome. Such functional hepatic decompensation has not previously been reported in this context and we suggest the use of prophylactic embolisation for incidental renal angiomyolipomata, regardless of size, in all patients with chronic liver disease to prevent this potentially life-threatening complication.</p>http://www.jmedicalcasereports.com/content/1/1/82 |
| spellingShingle | Wajed Julekha R Taylor-Robinson Simon D Jackson James E Stamp Gordon WH Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report Journal of Medical Case Reports |
| title | Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report |
| title_full | Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report |
| title_fullStr | Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report |
| title_full_unstemmed | Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report |
| title_short | Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report |
| title_sort | retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation a case report |
| url | http://www.jmedicalcasereports.com/content/1/1/82 |
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