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Spontaneous rupture of renal angiomyolipoma and its management: A case report
Narayan Thapa1, Suman Maharjan2, Anil Hona1
1Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, 44600, Nepal.
A Introduction And Importance:
Angiomyolipomas of kidney are benign lesions that are generally an incidental finding on imaging. Rupture of angiomyolipoma is rare and fatal complication that requires early intervention.
B Case Presentation:
A 38 year old male patient presented with symptoms of right flank pain for 2 days. On clinical examination patient looked anxious, pale with right flank tenderness, guarding and signs of shock.
C Clinical Findings And Investigations:
CT scan showed renal angiomyolipoma with aneurysm formation and bleed from the lesion. Blood profile revealed low hemoglobin.
D Interventions And Outcome:
Right nephrectomy performed along 6 cycles of cardiopulmonary reususcitaion done with stable post operatively vitals.
E Conclusion:
Early diagnosis of complication of angiomyolipoma requires thorough clinical examination and judicious use of imaging. Immediate embolization or surgery must be performed for better outcome and survival rate.
