Endovascular treatment of sporadic renal angiomyolipoma presenting with Wunderlich syndrome

Devta Viswam; Keerthiraj B; Anand Venugopal; Geetanjali Parmar

doi:10.1016/j.radcr.2023.11.077

Endovascular treatment of sporadic renal angiomyolipoma presenting with Wunderlich syndrome

Radiol Case Rep. 2023 Dec 23;19(3):1051-1054. doi: 10.1016/j.radcr.2023.11.077. eCollection 2024 Mar.

Authors

Devta Viswam¹, Keerthiraj B¹, Anand Venugopal¹, Geetanjali Parmar¹

Affiliation

¹ Department of Radiodiagnosis, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, India.

Abstract

Angiomyolipomas are benign renal hamartomas with - fat, smooth muscle, and abnormal blood vessel (tortuous, dysmorphic) components. The risk of hemorrhage is related to size of the tumor, presence of aneurysm, associations with tuberous sclerosis. In this case report we review the case of a 42-year-old woman presenting with acute flank pain and decreased hemoglobin, who was diagnosed with AML with right renal artery pseudo aneurysm on CT. Subsequent coil embolization of feeding vessels and using PVA particles was successfully done. Selective embolization remains a minimally invasive, attractive option, and a nephron sparing approach.

Keywords: Angiomyolipoma; Pseudoaneurysm; Selective embolization; Wunderlich's syndrome.

Publication types

Case Reports