Rupture of Renal Angiomyolipoma Post Fibrinolysis: A rare complication of fibrinolytic therapy.

Q3 Medicine Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI:10.18295/squmj.12.2023.074
Saba Al-Kindi, Mahmood Al-Hajriy, Adil Al-Jabri
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Abstract

Angiomyolipoma is a common benign solid tumour that accounts for up to 3% of all renal tumours; most of the cases are sporadic. However, it can be part of other diseases. Angiomyolipomas are usually found incidentally through unrelated clinically indicated images but also, they can be diagnosed after complications have occurred. We report the case of retroperitoneal haemorrhage following the rupture of renal angiomyolipoma post-fibrinolysis, we are highlighting such a rare condition, the management options and the follow-up plan. The management of angiomyolipomas ranges from conservative treatment to surgical intervention depending on the patient's condition and the tumour's radiological features. Following-up on patients with angiomyolipomas depends on the symptoms and the tumour size. Till date, there is no reported cases of renal angiomyolipoma rupture post-fibrinolysis therapy as a treatment for myocardial infarction in non-percutaneous intervention capable facility.

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纤维蛋白溶解术后肾血管肌脂肪瘤破裂:纤维蛋白溶解疗法的罕见并发症。
血管肌脂肪瘤是一种常见的良性实体瘤,占所有肾肿瘤的 3%;大多数病例为散发性。不过,它也可能是其他疾病的一部分。血管肌脂肪瘤通常是通过与临床无关的图像偶然发现的,但也可能在发生并发症后才被诊断出来。我们报告了一例纤溶后肾血管肌脂肪瘤破裂后腹膜后大出血的病例,重点介绍了这种罕见病症、处理方案和后续计划。血管肌脂肪瘤的治疗方法包括保守治疗和手术治疗,具体取决于患者的病情和肿瘤的放射学特征。血管肌脂肪瘤患者的随访取决于症状和肿瘤大小。迄今为止,在非经皮介入治疗心肌梗死的医疗机构中,还没有关于纤溶疗法后肾血管肌脂肪瘤破裂的病例报道。
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CiteScore
2.00
自引率
0.00%
发文量
86
审稿时长
7 weeks
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