Giant renal angiomyolipoma with fatal hemorrhage due to a large pseudoaneurysm

✍ Scribed by Anand B. Gaikwad; Mathews Baby Madathil; Abhaykumar S. Kothari

• Publisher: John Wiley and Sons
• Year: 2008
• Tongue: English
• Weight: 129 KB
• Volume: 36
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.20387

✦ Synopsis

Abstract

We report a case of giant renal angiomyolipoma (AML) with a large pseudoaneurysm causing fatal hemorrhage. A 60‐year‐old woman presented with right‐sided abdominal pain. Sonographic examination revealed a large hyperechoic renal mass. CT examination of the abdomen revealed a 15‐cm AML of the right kidney with a large hemorrhagic area within it. Subsequent color Doppler examination revealed a 2.9‐cm pseudoaneurysm arising from the upper segmental branch of the right renal artery. The patient, who was about to undergo transcatheter embolization of the pseudoaneurysm, died from cardio‐respiratory arrest. The autopsy findings confirmed a large right renal AML containing a thrombosed pseudoaneurysm and a large perinephric hematoma. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2008