scholarly journals Combination of Superselective Arterial Embolization and Radiofrequency Ablation for the Treatment of a Giant Renal Angiomyolipoma Complicated with Caval Thrombus

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Konstantinos N. Stamatiou ◽  
Hippocrates Moschouris ◽  
Kiriaki Marmaridou ◽  
Michail Kiltenis ◽  
Konstantinos Kladis-Kalentzis ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Transarterial Embolization ◽  
Vena Cava ◽  
Arterial Embolization ◽  
Maximum Diameter ◽  
Renal Angiomyolipoma ◽  
Efficient Treatment ◽  
Extrinsic Compression

This is a case of a 78-year-old male patient with multiple angiomyolipomas of a solitary right kidney. The largest of these tumors (maximum diameter: 13.4 cm) caused significant extrinsic compression of the inferior vena cava complicated by thrombosis of this vessel. Treatment of thrombosis with anticoagulants had been ineffective and the patient had experienced a bleeding episode from the largest right renal angiomyolipoma, which had been treated by transarterial embolization in another institution, 4 months prior to our intervention. Our approach included superselective transarterial embolization of the dominant, right kidney angiomyolipoma with hydrogel microspheres, which was combined, 20 days later, with ultrasonographically guided radiofrequency ablation. Both interventions were uneventful. Computed tomography 2 months after ablation showed a 53% reduction in tumor volume, reduced space-occupying effect on inferior vena cava, and resolution of caval thrombus. Nine months after intervention the patient has had no recurrence of thrombosis or hemorrhage and no tumor regrowth has been observed. The combination of superselective transarterial embolization and radiofrequency ablation seems to be a feasible, safe, and efficient treatment of large renal angiomyolipomas.

Benign Renal Angiomyolipoma With Inferior Vena Cava Thrombosis

Urology ◽  
2011 ◽  
Vol 77 (6) ◽  
pp. 1503-1506 ◽  
Author(s):  
Varun Mittal ◽  
Baldev S. Aulakh ◽  
Garima Daga
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Renal Angiomyolipoma ◽  
Vena Cava Thrombosis ◽  
Inferior Vena Cava Thrombosis

scholarly journals Nephron Sparing Surgery for Renal Angiomyolipoma with Inferior Vena Cava Thrombus in Tuberous Sclerosis

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Adrien Riviere ◽  
Thomas Bessede ◽  
Jean-Jacques Patard
Keyword(s):  
Inferior Vena Cava ◽  
Tuberous Sclerosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Nephron Sparing ◽  
Mean Size ◽  
The Mean

Introduction. Angiomyolipoma is a common benign renal tumor. It is associated with Tuberous Sclerosis Complex (TSC) in 20% of patients. Angiomyolipomas are classically multiple, bilateral, and growing; they may lead to complications such as Wunderlich syndrome or, in rare cases, to venous extension.Observation. a 74-year-old woman with TSC presented with an angiomyolipoma of the right kidney with inferior vena cava (IVC) fatty thrombus. She underwent partial nephrectomy and thrombectomy. After a 7-year follow-up there was no evidence of recurrence or metastasis and her renal function was preserved.Review of Literature. It is the 44th reported angiomyolipoma associated with IVC thrombus. The mean size of angiomyolipomas was 86.1 mm and 67.4% of patients were symptomatic. Pulmonary embolism was found in 6 patients. There were 2 cases of recurrence/metastatic outcome after radical nephrectomy and thrombectomy. They were associated with epithelioid form. The mean size of epithelioid tumors was significantly bigger than in classical angiomyolipomas (127.1 mm versus 82.6 mm,P=0.037). With a median follow-up of 12 months, 91.3% of patients were recurrence and metastasis free, with 3 cases of nephron sparing surgery.Conclusion. Nephron sparing surgery for angiomyolipoma with IVC fatty thrombus can be safely performed in TSC, even in sporadic angiomyolipoma.

Renal Angiomyolipoma Extending into Inferior Vena Cava

1993 ◽  
Vol 17 (1) ◽  
pp. 161-162 ◽  
Author(s):  
Nobushige Honda ◽  
Kei Matsuoka ◽  
Kiminori Fujimoto ◽  
Hiroshi Nishimura ◽  
Toshi Abe ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Renal Angiomyolipoma

scholarly journals Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia

2020 ◽  
Vol 102 (8) ◽  
pp. e202-e204
Author(s):  
KM Wcislo ◽  
CE Hall ◽  
N Abbassi-Ghadi
Keyword(s):  
Inferior Vena Cava ◽  
Diaphragmatic Hernia ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Condition ◽  
Acute Onset ◽  
Budd Chiari Syndrome ◽  
Extrinsic Compression ◽  
Chiari Syndrome ◽  
Hepatic Venous Outflow

Acute Budd–Chiari syndrome is a rare condition characterised by obstruction of hepatic venous outflow. We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome.

scholarly journals A rare case of renal angiomyolipoma involved both inferior vena cava and pulmonary arteries

2018 ◽  
Vol 10 (3) ◽  
pp. E166-E169
Author(s):  
Jun Gu ◽  
Ling Zeng ◽  
Hao Zeng ◽  
Chaoyi Qin ◽  
Zhong Wu
Keyword(s):  
Inferior Vena Cava ◽  
Rare Case ◽  
Inferior Vena ◽  
Pulmonary Arteries ◽  
Vena Cava ◽  
Renal Angiomyolipoma
Sign in / Sign up

Export Citation Format

Share Document