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产妇破裂肾血管平滑肌脂肪瘤的栓塞治疗

Embolization of Ruptured Renal Angiomyolipoma in Puerpera.

作者信息

Góes Junior Adenauer Marinho de Oliveira, Jeha Salim Abdon Haber, de Oliveira Carolina Pinheiro, Santos Daniel Arthur Santos Dos

机构信息

Department of Vascular Surgery, Centro Universitário do Estado do Pará, Belém, PA, Brazil.

Department of Surgical Habilities, Universidade Federal do Pará, Belém, Pará, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2019 Mar;41(3):199-202. doi: 10.1055/s-0039-1683948. Epub 2019 Mar 13.

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.

摘要

血管平滑肌脂肪瘤(AMLs)是一种罕见的间叶组织来源的良性肿瘤,由不同程度的脂肪组织、肌肉和血管组成。肾血管平滑肌脂肪瘤(RAMLs)是散发性事件的结果,在大多数情况下,诊断通常是偶然发现的,但可能会出现出血和休克。在怀孕期间,AMLs的大小可能会增加,并且可能破裂,这可能是由于激素受体的高表达以及母体循环和腹压的增加。作者报告了一例剖宫产术后四天因RAML破裂而接受紧急血管内治疗的女性病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc6c/10309282/e8d1e80dc061/10-1055-s-0039-1683948-i180278-1.jpg

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