Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report.
Author(s)
Wajed, JR
Taylor-Robinson, SD
Jackson, JE
Stamp, GW
Type
Journal Article
Abstract
Renal angiomyolipomata usually present as incidental findings on routine imaging, but rarely they may give rise to significant haemorrhage. If bleeding occurs, first-line treatment is currently angiography with selective embolisation. Prophylactic embolisation may be considered in some cases, depending on lesion size and patient co-morbidities. We present a case of retroperitoneal bleeding from a renal angiomyolipoma in a patient with known cirrhosis of the liver, which caused acute deterioration of liver function and consequent hepatic encephalopathy. Selective embolisation of the lesion was performed with a good subsequent outcome. Such functional hepatic decompensation has not previously been reported in this context and we suggest the use of prophylactic embolisation for incidental renal angiomyolipomata, regardless of size, in all patients with chronic liver disease to prevent this potentially life-threatening complication. © 2007 Wajed et al; licensee BioMed Central Ltd.
Date Issued
2007-09-06
Start Page
82
Journal / Book Title
J Med Case Rep
Volume
1
Copyright Statement
© 2007 Wajed et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.
org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction
in any medium, provided the orig
inal work is properly cited.
org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction
in any medium, provided the orig
inal work is properly cited.
License URL
Description
13.10.14 KB. OK to add published version to spiral, OA paper under cc license
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/17822527
1752-1947-1-82
Coverage Spatial
England