Bleeding renal angiomyolipoma presenting as duodenal obstruction

We report a case of a 60-year-old woman who had a delayed presentation of duodenal obstruction as a result of a bleeding right renal angiomyolipoma (AML) with retroperitoneal hematoma. Her duodenal obstruction did not improve upon conservative management, and a computed tomography (CT)-guided draina...

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Bibliographic Details
Published in:International urology and nephrology 2013-08, Vol.45 (4), p.975-977
Main Authors: Teoh, Jeremy Yuen Chun, Chan, Ning Hong, Cheung, Ho Yuen, Hou, Simon See Ming, Ng, Chi-Fai
Format: Article
Language:English
Subjects:
Angiomyolipoma - complications
Angiomyolipoma - diagnosis
Angiomyolipoma - diagnostic imaging
Angiomyolipoma - surgery
Diagnosis, Differential
Drainage - methods
Duodenal Diseases - diagnosis
Duodenal Diseases - diagnostic imaging
Duodenal Diseases - surgery
Female
Follow-Up Studies
Hemoperitoneum - diagnostic imaging
Hemoperitoneum - etiology
Hemoperitoneum - surgery
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - surgery
Kidney Neoplasms - complications
Kidney Neoplasms - diagnosis
Kidney Neoplasms - diagnostic imaging
Kidney Neoplasms - surgery
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Risk Assessment
Tomography, X-Ray Computed - methods
Treatment Outcome
Urology
Urology - Case Report
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Description
Summary:We report a case of a 60-year-old woman who had a delayed presentation of duodenal obstruction as a result of a bleeding right renal angiomyolipoma (AML) with retroperitoneal hematoma. Her duodenal obstruction did not improve upon conservative management, and a computed tomography (CT)-guided drainage of the retroperitoneal hematoma was subsequently performed. Post-intervention, CT scan confirmed hematoma resolution, and she was able to resume normal diet afterwards. We present this first reported case of a bleeding renal AML with retroperitoneal hematoma causing duodenal obstruction and discuss on the management of such condition.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-013-0483-2