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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(03): 199-202
DOI: 10.1055/s-0039-1683948
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Embolization of Ruptured Renal Angiomyolipoma in Puerpera

Embolização de angiomiolipoma renal roto em puérpera
Adenauer Marinho de Oliveira Góes Junior 
1   Department of Vascular Surgery, Centro Universitário do Estado do Pará, Belém, PA, Brazil
3   Department of Surgical Habilities, Universidade Federal do Pará, Belém, Pará, Brazil
5   Department of Endovascular Surgery, Hospital Geral Unimed (HGU), Belém, PA, Brazil
,
Salim Abdon Haber Jeha
4   Department of Vascular Surgery, Universidade Federal do Pará, Belém, Pará, Brazil
5   Department of Endovascular Surgery, Hospital Geral Unimed (HGU), Belém, PA, Brazil
,
Carolina Pinheiro de Oliveira
2   School of Medicine, Centro Universitário do Estado do Pará, Belém, PA, Brazil
,
Daniel Arthur Santos dos Santos
2   School of Medicine, Centro Universitário do Estado do Pará, Belém, PA, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. August 2018

22. Oktober 2018

Publikationsdatum:
13. März 2019 (online)

   Lizenzen und Reprints

Abstract

Angiomyolipomas (AMLs) are rare benign tumors derived from mesenchymal tissue and composed of varying degrees of adipose tissue, muscle and blood vessels. Renal AMLs (RAMLs) are the result of a sporadic event, and, in most of cases, the diagnosis is usually incidental, but hemorrhage and shock may be present. During pregnancy, the size of AMLs may increase and they may rupture, probably due to the high expression of hormone receptors, and the increase in maternal circulation and abdominal pressure. The authors present a case of a woman with ruptured RAML submitted to urgent endovascular treatment four days after giving birth by cesarean section.

Resumo

Angiomiolipomas (AMLs) são tumores benignos raros derivados do tecido mesenquimal, compostos em graus variados de tecido adiposo, muscular e de vasos sanguíneos. Os AMLs renais (AMLRs) resultam de um evento esporádico e, na maioria dos casos, o diagnóstico costuma ser fortuito, mas quadros de hemorragia e choque podem estar presentes. Durante a gestação, os AMLs podem aumentar de tamanho e romper, provavelmente pela alta expressão de receptores hormonais, e pelo aumento da circulação materna e da pressão abdominal. Os autores apresentam um caso de uma paciente com AMLR roto submetida a tratamento endovascular de urgência no quarto dia pós-operatório de uma cesariana.

Keywords

angiomyolipoma - kidney - therapeutic embolization - pregnancy complications - postpartum period

Palavras-chave

angiomiolipoma - rim - embolização terapêutica - complicações na gravidez - período pós-parto
 

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