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

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

doi:10.1016/j.eucr.2022.102240

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

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

Authors

Tarek Zagade¹, Tyler Trump², Amr A Elbakry², David Zekan², H James Williams³, Chad Morley²

Affiliations

¹ Eastern Virginia Medical School, Norfolk, VA, United States.
² West Virginia University Department of Urology, Morgantown, WV, United States.
³ West Virginia University Department of Pathology, Morgantown, WV, United States.

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.

Keywords: AML, Angiomyolipoma; Angiomyolipoma; Hydronephrosis; PCN, Percutaneous Nephrostomy; Selective angioembolization; TSC, Tuberous Sclerosis Complex.

Publication types

Case Reports