Naslov
Veliki spontani perirenalni hematom uzrokovan rupturom angiomiolipoma: Prikaz slučaja
(Extensive spontaneous perirenal hematoma secondary to ruptured angiomyolipoma: case report)

Autori
Štimac, Goran ; Dimanovski, Jordan ; Reljić, Ante ; Spajić, Borislav ; Čustović, Zaim ; Klarić-Čustović, Ratimira ; Krušlin, Božo

Izvornik
Acta clinica Croatica (0353-9466) 42 (2003); 55-58

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
hematom; dijagnostika; neoplazme bubrega; angiomiolipom
(hematoma; diagnosis; surgery; kidney neoplasms; complications; angiomyolipoma)

Sažetak
A rare case of extensive spontaneous perirenal hematoma from a ruptured angiomyolipoma is described. A 55-year-old woman was admitted to our department with a complaint of acute left flank pain. The images and clinical data of the case are presented. The imaging diagnostic techniques employed were abdominal ultrasonography, computed tomography scan and magnetic resonance imaging, which indicated the diagnosis of a large left perirenal hematoma and showed its size and extension. No tumor was suspected preoperatively. The operation was completed with nephrectomy and definite diagnosis was made on the basis of pathology findings, which revealed a relatively small angiomyolipoma on the upper pole of the left kidney wherefrom the hemorrhage had occurred. Therapeutic approach, i.e. nephrectomy or conservative therapy, remains controversial, however, concerning the prevalence of renal neoplastic lesions, most recent reports recommend nephrectomy in case of even slight doubt of renal neoplasm. The clinical, diagnostic and therapeutic aspects of this rare disease are discussed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA