Komeya Mitsuru, Matsumoto Tatsuya, Fujinami Kiyoshi, Senga Yutaka, Asakura Tomoyuki, Goto Akihiko
The Department of Urology, Chigasaki City Hospital, Japan.
Hinyokika Kiyo. 2010 May;56(5):261-4.
A 39-year-old woman, who was followed because of a 4 cm asymptomatic angiomyolipoma (AML) in the left kidney, presented with an acute onset of lower left back pain in the 38th week of her first pregnancy. An ultrasound revealed an 8 cm mass suggestive of AML rupture and retroperitoneal hemorrhage. An emergency caesarean delivery was performed. A post-delivery computed tomographic scan confirmed the AML rupture and selective embolization was performed. This was a case in which the AML grew rapidly during the pregnancy ; therefore, we discuss the relationship between AML and pregnancy.
一名39岁女性,因左肾有一个4厘米无症状血管平滑肌脂肪瘤(AML)而接受随访,在其首次怀孕第38周时突然出现左下腹疼痛。超声检查显示一个8厘米的肿块,提示AML破裂和腹膜后出血。遂进行了急诊剖宫产。产后计算机断层扫描证实了AML破裂,并进行了选择性栓塞。这是一例AML在孕期迅速生长的病例;因此,我们讨论了AML与妊娠之间的关系。