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Academic Web Journal of Medical Science (AWJMS)
AWJMS - Publication

Academic Web Journal of Medical Science  
Volume 2 issue 2 pp 024-029 May, 2017

Case Report

Bilateral Angiomyolipama of the kidneys with shock due to rupture: Can conservative management be an option? 

Alemayehu Tegene, Shemssie Shewmollo Bushira and Etenesh Tewolde Tesfahunegn

Saint Paul’s Teaching Referral Hospital, Addis Ababa, Ethiopia.

*Corresponding author. E-mail: alett2005@gmail.com.

 

ABSTRACT

Renal angiomyolipoma is a benign tumor of the kidney which is composed of fat, smooth muscle and thick walled vessels in varying proportions. It is the most common cause of spontaneous renal hemorrhage often present with classic triads of abdominal pain, palpable mass and hypovolemic shock called Wunderlich syndrome. Once the diagnosis of ruptured angiomyolipoma with unstable hemodynamic state is made, the treatment recommendation is either surgery or therapeutic embolization. The case we report is a 20 year old female presented with classic triads of abdominal pain, giant palpable mass and hypovolemic shock who was successfully managed conservatively.

Keywords: Renal angiomyolipoma, AMLs, CT scan, tumor of the kidney.

Full Text (pdf)928 KB

 

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