Angiomiolipoma renal complicado como causa de dolor lumbar: Caso clínico

• Melissa Cifuentes ^[2] ; Félix Calleja ^[2] ; José Hola ^[2] ; Antonio Daviú ^[2] ; Danilo Jara ^[1] ; Humberto Vallejos ^[3]
  1. [1] Universidad de Valparaíso

     Universidad de Valparaíso

     Valparaíso, Chile

     
  2. [2] Hospital Carlos Van Buren Unidad de Emergencia Adultos
  3. [3] Hospital Carlos Van Buren Unidad de Anatomía Patológica

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 136, Nº. 8, 2008, págs. 1031-1033
• Idioma: español
• Títulos paralelos:
  • Renal angiomyolipoma rupture as a cause of lumbar pain: Report of one case
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• Resumen

  • Renal angiomyolipoma is a benign tumor formed by smooth muscle, adipose tissue and blood vessels. It is commonly found incidentally and its clinical manifestations are pain and abdominal mass or spontaneous tumor rupture with retroperitoneal bleeding. The clinical presentation of a hemorrhagic shock secondary to a retroperítoneal hematoma is uncommon. We report a 40 year-old male who presented to the emergency room with lumbar pain and deteríoration of hemodynamic parameters. The CT sean showed a left renal injury associated to an expansive retroperítoneal process. The abdominal exploration, vascular control of the renal pedicle and nephrectomy allowed a successful outeome.