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Large Aneurysm in Renal Angiomyolipoma
Ateeque Ahmed Khan1, Samiya Saquib1, Rabia Hafeez1
1Department of Radiology, Civil Hospital and Dow University of Health Sciences, Karachi.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 4, 2018
Summary
Tuberous sclerosis patients often develop large renal aneurysms prone to hemorrhage. This case highlights a 13-year-old female with tuberous sclerosis presenting with kidney pseudoaneurysm and hemorrhage.
Area of Science:
- Nephrology
- Radiology
- Genetics
Background:
- Renal angiomyolipomas (AMLs) are benign tumors.
- Large aneurysms in renal AMLs are more frequent in tuberous sclerosis complex (TSC).
- These aneurysms increase the risk of severe hemorrhage.
Observation:
- A 13-year-old female presented with flank pain, a skin nodule, and developmental delay.
- Color Doppler ultrasound identified a pseudoaneurysm in the left kidney.
- The patient had bilateral renal AMLs.
Findings:
- Contrast-enhanced CT confirmed TSC manifestations: subependymal tubers and bilateral renal AMLs.
- A left kidney pseudoaneurysm was identified.
- Perinephric hemorrhage associated with the pseudoaneurysm was present.
Implications:
- This case underscores the association between TSC, renal AMLs, pseudoaneurysms, and hemorrhage.
- Early diagnosis and monitoring are crucial for managing TSC-related renal complications.
- Radiological imaging plays a vital role in identifying these potentially life-threatening conditions.
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