A case report of giant hamartoma of both kidneys with spontaneous rupture and hemorrhage in a pregnant woman: A case report

Gao,Cui‑Min; Ma,Yu‑Qing; Yu,Cheng; Xie,Na; Ma,Yue

doi:10.3892/br.2019.1223

August-2019 Volume 11 Issue 2

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August-2019 Volume 11 Issue 2

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Case Report Open Access

A case report of giant hamartoma of both kidneys with spontaneous rupture and hemorrhage in a pregnant woman: A case report

Authors:
- Cui‑Min Gao
- Yu‑Qing Ma
- Cheng Yu
- Na Xie
- Yue Ma
View Affiliations / Copyright

Affiliations: Department of Anesthesiology, First Hospital of Lanzhou University, Lanzhou, Gansu 730000, P.R. China, Department of Clinical Medicine, First College of Clinical Medicine of Lanzhou University, Lanzhou, Gansu 730000, P.R. China

Copyright: © Gao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 59-62
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Published online on: June 20, 2019

https://doi.org/10.3892/br.2019.1223
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Abstract

The aim of the present study was to describe a case of renal angiomyolipoma (RAML) in a 31‑year‑old woman who presented with massive hemorrhage, shock, severe anemia (Hb 63 g‑l) and multiple lesions, prior to delivery of a dead fetus. A 31‑year‑old woman was admitted due to left flank and abdominal pain at 20 weeks of gestation age, and diagnosed with RAML complicated with spontaneous rupture and hemorrhage of the left kidney, for which emergency exploratory laparotomy, left kidney resection and splenectomy were performed. The patient delivered a dead fetus 3 days following surgery and recovered well postoperatively. Hemorrhagic RAML during pregnancy is a rare and complex vascular surgical emergency, and should be managed in a multidisciplinary manner. Spontaneous rupture is a serious threat to the life and health of pregnant women and fetuses. The present case is a typical example of RAML in a pregnant woman complicated by spontaneous rupture and hemorrhage, which highlights the importance of determining the risk of acute hemorrhage in early stages of pregnancy, and the significance of time and proper management. However, in cases of shock caused by spontaneous rupture and hemorrhage, the only way to save the life of the patient is to resect the lesion without delay.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

A case report of giant hamartoma of both kidneys with spontaneous rupture and hemorrhage in a pregnant woman: A case report

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