Dev Renal Anjiomyolipoma Rüptürü

Year 2007, Volume: 40 Issue: 1, 48 - 51, 01.04.2007

Bige Sayın Nilgün Yıldırım Doğan Dede Gülşah Kabaçam Perihan Soydinç Sevinç Bostanoğlu

Abstract

Angiomyolipomas form approximately 5% of renal tumors. Because of their benign character, they may reach extensive sizes before the diagnosis. They are usually asymptomatic if the tumor size is less than 4 cm. İn angiomyolipomas greater than 4 cm, there is an increased risk of intratümöral or perinephritic hemorrage and patients may become symptomatic. Therapeutic app-roach, differs vvith respect to size of the tumor and complications. Ultrasonography (US) and computed tomography (CT) are important in evaluating the tumor size, internal structure of tumor and complications. İn that way, nephron sparing surgery can be planned. Herein, we report the radiological findings of a patient vvith giant hemorrhagic renal angiomyolipoma. The patient did not have clinical and radiological signs of tuberosclerosis.

Keywords

Renal Angiomyolipomas, US, CT.

Rupture of Giant Renal Angiomylipoma

Abstract

Anjiomyolipoma renal tümörlerin yaklaşık %5'ini oluşturur. Benign karekterde olduklarından, tanı konmadan önce büyük boyutlara ulaşabilirler. 4 cm'den küçük lezyonlar çoğunlukla asemptomatiktir. 4 cm'den büyük lezyonlarda intratümöral ya da peri-nefritik hemoraji riski artar ve lezyon semptomatik hale gelebilir. Tedavi yaklaşımları, tümörün boyutuna ve komplikasyonlarına bağlı değişir. Ultrasonografi ve bilgisayarlı tomografi, kitlenin boyutu, iç yapısı ve komplikasyonlarının değerlendirilmesinde, böylelikle böbrek koruyucu cerrahi yaklaşımlara yön vermesinde değerlidir. Burada, kanamalı dev renal anjiomyolipomanın radyolojik bulguları sunulmaktdır. Hastada tüberoz skleroz ile uyumlu klinik ve radyolojik bulgular bulunmamaktadır.

Keywords

Renal anjiomyolipoma, US, BT.

References

• Ashebu SD, Dahniya MH, Elshebiny YH, et al. Giant blee- ding renal angiomyolipoma: Diagnosis and management. Australasian Radiology 2002;46:115-8.
• Heidenreich A, Hegele A, Varga Z, et al. Nephron-Sparing Surgery for Renal Angiomyolipoma. European Urology 2002;1:267-73.
• Galanis I, Kararoudis A, Papaziogas B, ve ark. T. A rare case of a giant renal AML. European Surgery 2003:35:58.
• Oesterling JE, Fishman ET, Goldman SM, et al. The mana­ gement of renal angiomyolipoma. J Urol 1986; 135: 1121-4.
• Chen SS, Lin AT, Chen KK, et al. Renal angiomyolipoma- experience of 20 years in Taivvan. Eur Urol 1997;32:175-8.
• Lapeyre M, Correas J.M, Ortonne N, et ai. Color-flow dopp­ ler sonography of pseudoanevrisms in patients vvith blee- ding renal angiomyolipoma. AJR 2002;179:145-7.
• Yamakado K, Tanaka N, Nakagavva T, et at. Renal angiom­ yolipoma: relationships betvveen tumor size, aneurysm for- mation, and rupture. Radiology 2002;225:78-82.
• Joarder R, Gedroyc WM. Magnetic resonance angiography: The State of the art. Eur Radiol 2001;11:446-53.
• Hayashi H, Kavvamata H, Ishio M, et al. Multiple renal artery aneurysms diagnosed by three-dimensional CT angiog­ raphy. d in Imaging 2000;24:221-3.
• Koike H, Muller SC, Hohenfeller R. Management of renal angiomyolipoma: A report of 14 cases and revievv of the lite­ ratüre. Eur Urol 1994;25:183-8.
• Paivansalo M, Lahde S, Hyvarinen S, et at. Renal angiom- yolipoma-ultrasonographic, CT, angiographic and histologic correlation. Açta Radiol 1991; 32:239-243.
• Jinkazi M, Tanimoto A, Narimatsu Y, et al. Angiomyolipoma: imaging findings in lesions vvith minimal fat. Radiology 1997; 205:497-502.
• Heyvvood G, Smyrk TC, Donohue JH. Primary angiomyoli­ poma of the pancreas. Pancreas 2004;28:443-5.
• Fazeli-Matin S, Novick AC. Nephron-sparing surgery for renal angiomyolipoma. Urology 1998;52:577-83.