Renal Angiomyolipoma During Pregnancy: What Can We Offer?
- Author:
Lim PS
;
Ng BK
;
Rozman Z
;
Nirmala K
;
Shuhaila A
;
Omar MH
- Publication Type:Case Reports
- Keywords:
Renal angiomyolipoma;
embolization;
haemorrhage;
nephrectomy;
pregnancy
- MeSH:
Nephrectomy;
Pregnancy Women
- From:Journal of Surgical Academia
2015;5(2):62-65
- CountryMalaysia
- Language:English
-
Abstract:
Renal angiomyolipoma is a rare disease seen during pregnancy. Rupture of renal angiomyolipoma could be
catastrophic and might result in maternal and even perinatal mortality. Management includes conservative vs surgical
approach. A 29-year-old woman Para 2 with history of bleeding renal angiomyolipoma in her first pregnancy at 11
weeks treated with selective arterial embolisation. The pregnancy was terminated. Even though having small residual
tumour, her subsequent pregnancy progressed well with conservative management. Intervention is advisable in the
presence of large or symptomatic renal angiomyolipoma prior to pregnancy in order to minimise potential lifethreatening
haemorrhage during pregnancy. For those with small tumour of less than 4cm, perhaps conservative
approaches i.e. frequent follow-up and close monitoring would assist in early identification of any rupture or
bleeding.
- Full text:P020151210358688635462.pdf
