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选择性血管栓塞术作为治疗引起尿路梗阻的肾血管平滑肌脂肪瘤的一种管理策略。

Selective angioembolization as a management strategy for angiomyolipoma causing urinary tract obstruction.

作者信息

Zagade Tarek, Trump Tyler, Elbakry Amr A, Zekan David, Williams H James, Morley Chad

机构信息

Eastern Virginia Medical School, Norfolk, VA, United States.

West Virginia University Department of Urology, Morgantown, WV, United States.

出版信息

Urol Case Rep. 2022 Sep 24;45:102240. doi: 10.1016/j.eucr.2022.102240. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102240
PMID:36199836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9529498/
Abstract

Angiomyolipoma (AML) is a benign renal tumor usually found incidentally. Rarely, AML can present with renal colic due to urinary tract obstruction. Prior cases of obstructing AML have been presented and managed successfully with surgical removal. Selective angioembolization has emerged as an alternative management strategy for AML, but no documented cases have been presented for this strategy in the setting of obstruction. Here, we present a case of obstructing AML treated with selective angioembolization with subsequent resolution of obstruction.

摘要

血管平滑肌脂肪瘤（AML）是一种通常偶然发现的良性肾肿瘤。很少见的是，AML可因尿路梗阻而出现肾绞痛。先前有梗阻性AML的病例已被报道，并通过手术切除成功治疗。选择性血管栓塞已成为AML的一种替代治疗策略，但在梗阻情况下，尚无该策略的文献报道病例。在此，我们报告一例通过选择性血管栓塞治疗的梗阻性AML病例，随后梗阻得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75a4/9529498/9fab892a9201/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75a4/9529498/e14f7a0140c6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75a4/9529498/9fab892a9201/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75a4/9529498/e14f7a0140c6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75a4/9529498/9fab892a9201/gr2.jpg

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Renal Angiomyolipoma: The Good, the Bad, and the Ugly.肾血管平滑肌脂肪瘤：益处、风险与复杂性
J Belg Soc Radiol. 2018 Apr 20;102(1):41. doi: 10.5334/jbsr.1536.
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Selective arterial embolization of symptomatic and asymptomatic renal angiomyolipomas: a retrospective study of safety, outcomes and tumor size reduction.
有症状和无症状肾血管平滑肌脂肪瘤的选择性动脉栓塞术：一项关于安全性、疗效及肿瘤缩小情况的回顾性研究
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Update on the Diagnosis and Management of Renal Angiomyolipoma.肾血管平滑肌脂肪瘤的诊断和治疗进展。
J Urol. 2016 Apr;195(4 Pt 1):834-46. doi: 10.1016/j.juro.2015.07.126. Epub 2015 Nov 21.
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URETERIC ANGIOMYOLIPOMA CAUSING UNILATERAL PELVI-URETERIC JUNCTION OBSTRUCTION.输尿管血管平滑肌脂肪瘤导致单侧肾盂输尿管连接处梗阻。
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