Transfemoral embolization of a large symptomatic renal angiomyolipoma in a horseshoe kidney: a case report and literature review

Renal angiomyolipomas (AML) are the commonest benign renal neoplasms. They are composed of blood vessels, adipose tissue, and smooth muscle in varying amounts. It is quite rare to find AML in a horseshoe kidney, although there is at least one such reported case discovered in pregnancy and managed by resection. Spontaneous hemorrhage which could be fatal is the most feared sequelae of AML. The first-line of management for AMLs was previously surgical excision. However, advances in minimally invasive techniques that have a lower risk of complications have broadened treatment options for reducing tumour size and preventing hemorrhage. One of such effective techniques is selective arterial embolization (SAE) of renal AMLs > 4cm. Patients not requiring any immediate intervention maybe followed up with active surveillance. In this case report, we present a case of AML in a horseshoe kidney that was successfully treated with transfemoral embolization as well as a review of the literature.

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Treatment options and long-term outcomes in pediatric spinal cord vascular malformations: a case report and review of the literature

Child s Nervous System ◽

10.1007/s00381-020-04624-4 ◽

2020 ◽

Vol 36 (12) ◽

pp. 3147-3152

Author(s):

Helen J. Zhang ◽

Nicole Silva ◽

Elena Solli ◽

Amanda C. Ayala ◽

Luke Tomycz ◽

...

Keyword(s):

Spinal Cord ◽

Case Report ◽

Vascular Malformations ◽

Treatment Options ◽

Review Of The Literature ◽

Long Term Outcomes

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Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature

Allergy & Rhinology ◽

10.2500/ar.2015.6.0127 ◽

2015 ◽

Vol 6 (2) ◽

pp. ar.2015.6.0127 ◽

Cited By ~ 7

Author(s):

Juliette O. Flam ◽

Christopher D. Brook ◽

Rachel Sobel ◽

John C. Lee ◽

Michael P. Platt

Keyword(s):

Case Report ◽

Physical Examination ◽

Nasal Cavity ◽

Surgical Excision ◽

Myoepithelial Carcinoma ◽

Review Of The Literature ◽

Nasal Symptoms ◽

First Case ◽

Nasal Tumor ◽

Epithelial Myoepithelial Carcinoma

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.

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Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2010.09068 ◽

2011 ◽

Vol 15 (1) ◽

pp. 58-60

Author(s):

Janice Bacher ◽

Dalal Assaad ◽

David N. Adam

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Conservative Management ◽

Treatment Options ◽

Pyogenic Granuloma ◽

Conservative Approach ◽

Review Of The Literature ◽

Atypical Case ◽

Over Time ◽

Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

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Retroperitoneoscopic Dismembered Pyeloplasty for Primary Ureteropelvic Junction Obstruction in a Horseshoe Kidney: A Case Report and Review of the Literature

UroToday International Journal ◽

10.3834/uij.1944-5784.2013.06.02 ◽

2013 ◽

Vol 06 (03) ◽

Author(s):

Vishwajeet Singh ◽

Dheeraj Kumar Gupta ◽

Rahul Janek Sinha

Keyword(s):

Case Report ◽

Ureteropelvic Junction Obstruction ◽

Horseshoe Kidney ◽

Ureteropelvic Junction ◽

Review Of The Literature

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Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

Case Reports in Critical Care ◽

10.1155/2018/4058046 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

N. Houari ◽

S. Touzani ◽

H. Salhi ◽

M.-Y. Alaoui Lamrani ◽

K. Ibnmajdoub ◽

...

Keyword(s):

Case Report ◽

Mortality Rate ◽

Cardiogenic Shock ◽

High Mortality ◽

Multidisciplinary Approach ◽

Arterial Embolization ◽

Surgical Excision ◽

Favorable Outcome ◽

Hemodynamic Support ◽

Rare Manifestation

Background. Catecholamine-induced cardiogenic shock is a rare manifestation of paragangliomas. The high mortality rate of this condition makes the immediate, multidisciplinary approach mandatory. Case Report. We report a case of an 18-year-old woman with a retroperitoneal secreting paraganglioma, complicated with a cardiogenic shock and an acute adrenergic myocarditis, requiring hemodynamic support and emergency arterial embolization prior to surgical excision, with a favorable outcome. Conclusion. Paraganglioma-induced myocarditis is rare but can be dramatic. Management requires appropriate and immediate hemodynamic support. Embolization may be an alternative to stabilize the patient prior to surgery.

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En Bloc Transplantation of a Horseshoe Kidney from a High Risk Multi-Organ Donor: Case Report and Review of the Literature

The Journal of Urology ◽

10.1016/s0022-5347(17)32765-9 ◽

1994 ◽

Vol 152 (2 Part 1) ◽

pp. 468-470 ◽

Cited By ~ 9

Author(s):

Jeffrey A. Lowell ◽

Rodney J. Taylor ◽

Mark Cattral ◽

J. Stevenson Bynon ◽

Daniel C. Brennan ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Horseshoe Kidney ◽

Organ Donor ◽

Review Of The Literature ◽

En Bloc

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Treatment options for steatocystoma multiplex: A case report and review of the literature

Journal of the American Academy of Dermatology ◽

10.1016/j.jaad.2018.05.1194 ◽

2018 ◽

Vol 79 (3) ◽

pp. AB302

Keyword(s):

Case Report ◽

Treatment Options ◽

Review Of The Literature ◽

Steatocystoma Multiplex

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Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

Case Reports in Surgery ◽

10.1155/2016/6450765 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9

Author(s):

Noemi Cantone ◽

Caterina Gulia ◽

Vittorio Miele ◽

Margherita Trinci ◽

Vito Briganti

Keyword(s):

Case Report ◽

Diaphragmatic Hernia ◽

Clinical Presentation ◽

Treatment Options ◽

Gastric Volvulus ◽

Diagnostic Assessment ◽

Wandering Spleen ◽

Review Of The Literature ◽

Morgagni Hernia ◽

Assessment And Treatment

Wandering spleen and gastric volvulus are two rare entities that have been described in association with congenital diaphragmatic hernia. The diagnosis is difficult and any delay can result in ischemia and necrosis of both organs. We present a case of a 13-year-old girl, previously operated on for anterior diaphragmatic hernia and intrathoracic gastric volvulus, that presented to our service for a subdiaphragmatic gastric volvulus recurrence associated with a wandering spleen. In this report we reviewed the literature, analyzing the clinical presentation, diagnostic assessment, and treatment options of both conditions, in particular in the case associated with diaphragmatic hernia.

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