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巨大肾血管平滑肌脂肪瘤患者的栓塞后综合征:一例报告

Postembolization syndrome in a patient with a giant renal angiomyolipoma: A case report.

作者信息

Romero-Fernández Sebastián, García-Ramos Valeria, García Valentina, Ceballos Myriam Lili

机构信息

Clinical Research Center, Fundación Valle del Lili, Cali 760032, Colombia.

Urology Department, Fundación Valle del Lili, Cali 760032, Colombia.

出版信息

Radiol Case Rep. 2024 Sep 24;19(12):6269-6273. doi: 10.1016/j.radcr.2024.08.163. eCollection 2024 Dec.

Abstract

Angiomyolipomas are benign mesenchymal lesions often diagnosed incidentally, composed of adipose tissue, dysmorphic blood vessels, and smooth muscle. They are usually unilateral and symptomatic only when larger than 4 centimeters, posing a risk of spontaneous rupture and severe retroperitoneal hemorrhage. Treatment varies from conservative management to selective embolization or nephrectomy, depending on tumor size and patient condition. This case report describes a 26-year-old female with a giant renal angiomyolipoma treated with angioembolization, who subsequently developed postembolization syndrome.

摘要

血管平滑肌脂肪瘤是一种良性间质性病变,通常为偶然诊断,由脂肪组织、形态异常的血管和平滑肌组成。它们通常为单侧性,仅在大于4厘米时出现症状,存在自发破裂和严重腹膜后出血的风险。治疗方法因肿瘤大小和患者情况而异,从保守治疗到选择性栓塞或肾切除术不等。本病例报告描述了一名26岁患有巨大肾血管平滑肌脂肪瘤的女性接受血管栓塞治疗,随后出现栓塞后综合征。

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