Spontaneous haemorrhage of an adrenal angiomyolipoma: case report
Abstract Background Angiomyolipomas are rare mesenchymal tumours arising from the perivascular epithelioid cells consisting of variable amounts of adipose, thick-walled blood vessels and smooth muscle cells. These benign tumours commonly occur in the kidney with only a few case reports of adrenal an...
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doaj-4ea7b67bb5344fabbc8b76148c82cf3c2020-11-25T00:12:54ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872019-11-012511410.1186/s12301-019-0006-1Spontaneous haemorrhage of an adrenal angiomyolipoma: case reportDanielle Whiting0Ian Rudd1Amit Goel2Seshadri Sriprasad3Sanjeev Madaan4Department of Urology and Nephrology, Dartford and Gravesham NHS Trust, Darent Valley HospitalDepartment of Urology and Nephrology, Dartford and Gravesham NHS Trust, Darent Valley HospitalPathology Department, Maidstone and Tunbridge Wells NHS TrustDepartment of Urology and Nephrology, Dartford and Gravesham NHS Trust, Darent Valley HospitalDepartment of Urology and Nephrology, Dartford and Gravesham NHS Trust, Darent Valley HospitalAbstract Background Angiomyolipomas are rare mesenchymal tumours arising from the perivascular epithelioid cells consisting of variable amounts of adipose, thick-walled blood vessels and smooth muscle cells. These benign tumours commonly occur in the kidney with only a few case reports of adrenal angiomyolipomas which have the potential to reach a large size and haemorrhage. Case presentation A 45-year-old lady presented with a 3-week history of right loin pain, nausea and vomiting. A CT scan revealed a right adrenal angiomyolipoma measuring 6.3 × 6.8 cm with associated haemorrhage. The lesion was successfully treated with right open adrenalectomy, and histology confirmed the diagnosis of adrenal angiomyolipoma. The patient remained well with no evidence of recurrence at the 36-month follow-up. Conclusion Adrenal angiomyolipomas are rare benign tumours that have the ability to reach a large size and potential to bleed. Here, we report the second case of spontaneous haemorrhage in an adrenal angiomyolipoma, which was successfully treated with open adrenalectomy.http://link.springer.com/article/10.1186/s12301-019-0006-1Adrenal gland neoplasmsAdrenalectomyAngiomyolipomaHaemorrhage |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Danielle Whiting Ian Rudd Amit Goel Seshadri Sriprasad Sanjeev Madaan |
spellingShingle |
Danielle Whiting Ian Rudd Amit Goel Seshadri Sriprasad Sanjeev Madaan Spontaneous haemorrhage of an adrenal angiomyolipoma: case report African Journal of Urology Adrenal gland neoplasms Adrenalectomy Angiomyolipoma Haemorrhage |
author_facet |
Danielle Whiting Ian Rudd Amit Goel Seshadri Sriprasad Sanjeev Madaan |
author_sort |
Danielle Whiting |
title |
Spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
title_short |
Spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
title_full |
Spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
title_fullStr |
Spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
title_full_unstemmed |
Spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
title_sort |
spontaneous haemorrhage of an adrenal angiomyolipoma: case report |
publisher |
SpringerOpen |
series |
African Journal of Urology |
issn |
1110-5704 1961-9987 |
publishDate |
2019-11-01 |
description |
Abstract Background Angiomyolipomas are rare mesenchymal tumours arising from the perivascular epithelioid cells consisting of variable amounts of adipose, thick-walled blood vessels and smooth muscle cells. These benign tumours commonly occur in the kidney with only a few case reports of adrenal angiomyolipomas which have the potential to reach a large size and haemorrhage. Case presentation A 45-year-old lady presented with a 3-week history of right loin pain, nausea and vomiting. A CT scan revealed a right adrenal angiomyolipoma measuring 6.3 × 6.8 cm with associated haemorrhage. The lesion was successfully treated with right open adrenalectomy, and histology confirmed the diagnosis of adrenal angiomyolipoma. The patient remained well with no evidence of recurrence at the 36-month follow-up. Conclusion Adrenal angiomyolipomas are rare benign tumours that have the ability to reach a large size and potential to bleed. Here, we report the second case of spontaneous haemorrhage in an adrenal angiomyolipoma, which was successfully treated with open adrenalectomy. |
topic |
Adrenal gland neoplasms Adrenalectomy Angiomyolipoma Haemorrhage |
url |
http://link.springer.com/article/10.1186/s12301-019-0006-1 |
work_keys_str_mv |
AT daniellewhiting spontaneoushaemorrhageofanadrenalangiomyolipomacasereport AT ianrudd spontaneoushaemorrhageofanadrenalangiomyolipomacasereport AT amitgoel spontaneoushaemorrhageofanadrenalangiomyolipomacasereport AT seshadrisriprasad spontaneoushaemorrhageofanadrenalangiomyolipomacasereport AT sanjeevmadaan spontaneoushaemorrhageofanadrenalangiomyolipomacasereport |
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