A CASE OF SUDDEN ONSET OF RENAL ANGIOMYOLIPOMA TREATED BY TRANSARTERIAL EMBOLIZATION WITH ABSOLUTE ETHANOL

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  • 急性腹症で発症し,無水エタノールによるTAEを施行した腎血管筋脂肪腫の1例

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Abstract

A 34-year-old woman was admitted to the hospital because of sudden onset of left flank pain. Ultrasonography and CT findings revealed a left giant renal tumor. The tumor was 13×11×20cm in size and composed of fatty tissue in the most part. A lesion which seemed to be hematoma surrounded the left kidney. She was diagnosed with retroperitoneal bleeding due to rupture of the renal tumor, and underwent abdominal angiography. It was revealed that the tumor was fed by three dilated and tortuous vessels of branches from the renal artery. A diagnosis of renal angiomyolipoma was made. These tumor vessels were embolized with 5ml of absolute ethanol superselectively. Post embolized course was uneventful and the tumor revealed a decrease in size on CT 9 days after TAE. She has been asymptomatic for 5 years. Transarterial embolization with absolute ethanol is first recommended for renal angiomyolipoma.

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