Uchino A, Itoh K, Egashira K, Ohno M
Department of Radiology, Kyushu Rosai Hospital, Fukuoka, Japan.
Radiat Med. 1987 Nov-Dec;5(6):191-4.
A 47-year-old woman experienced sudden onset of severe left flank pain. By computed tomography (CT) and arteriography, her condition was diagnosed as a ruptured angiomyolipoma of the left kidney. She did not have tuberous sclerosis. Using polyvinyl alcohol foam (Ivalon) particles, immediate embolization of a main artery feeding the tumor--the posterior branch of the left renal artery--was performed. Three months after embolization, intravenous digital subtraction angiography (IVDSA) showed this main feeder was still occluded. This case and others encountered in our review of the literature underscore the usefulness of therapeutic embolization for renal angiomyolipoma.
一名47岁女性突然出现严重的左侧腰痛。通过计算机断层扫描（CT）和血管造影，她的病情被诊断为左肾血管平滑肌脂肪瘤破裂。她没有结节性硬化症。使用聚乙烯醇泡沫（Ivalon）颗粒，立即对供应肿瘤的主要动脉——左肾动脉后支进行了栓塞。栓塞三个月后，静脉数字减影血管造影（IVDSA）显示这条主要供血动脉仍被阻塞。我们对文献回顾中遇到的这个病例及其他病例强调了治疗性栓塞对肾血管平滑肌脂肪瘤的有用性。
