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Case Report

Renal Angiomyolipoma in Pregnancy: Surgical Management with Fetal Preservation-Approach in a Developing Setting

by
Fred O. Ugwumba
1,*,
Emeka F. Nnakenyi
2,
Okechukwu C. Okafor
2,
Augustine C. Onuh
3,
Paschalina C. Ezechukwu
4 and
Sunday Urube
1
1
Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu 400001, Enugu State, Nigeria
2
Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu 400001, Enugu State, Nigeria
3
Department of Radiology, University of Nigeria Teaching Hospital, Enugu 400001, Enugu State, Nigeria
4
Department of Obstetrics and Gynecology, Mother of Christ Specialist Hospital, Ogui, Enugu State, Nigeria
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(4), 893; https://doi.org/10.4081/cp.2016.893
Submission received: 7 September 2016 / Revised: 7 September 2016 / Accepted: 11 October 2016 / Published: 7 December 2016

Abstract

Renal angiomyolipomas (RAML) are uncommon benign renal tumours that are associated with a tendency to rupture resulting in sometimes- torrential retroperitoneal hemorrhage as the Wunderlich syndrome or as severe potentially exsanguinating hematuria. When hemorrhage from RAML occurs in pregnancy it presents a unique challenge requiring timely and appropriately adapted intervention with the goal of preventing fatality, preserving renal function as well as preventing fetal loss if possible. We report the management of severe bleeding from RAML in pregnancy and highlight the need to adopt a management strategy that suits the practice environment and offers the patient standard and enduring care.
Keywords: bleeding; renal angiomyolipoma; pregnancy; surgical; management bleeding; renal angiomyolipoma; pregnancy; surgical; management

Share and Cite

MDPI and ACS Style

Ugwumba, F.O.; Nnakenyi, E.F.; Okafor, O.C.; Onuh, A.C.; Ezechukwu, P.C.; Urube, S. Renal Angiomyolipoma in Pregnancy: Surgical Management with Fetal Preservation-Approach in a Developing Setting. Clin. Pract. 2016, 6, 893. https://doi.org/10.4081/cp.2016.893

AMA Style

Ugwumba FO, Nnakenyi EF, Okafor OC, Onuh AC, Ezechukwu PC, Urube S. Renal Angiomyolipoma in Pregnancy: Surgical Management with Fetal Preservation-Approach in a Developing Setting. Clinics and Practice. 2016; 6(4):893. https://doi.org/10.4081/cp.2016.893

Chicago/Turabian Style

Ugwumba, Fred O., Emeka F. Nnakenyi, Okechukwu C. Okafor, Augustine C. Onuh, Paschalina C. Ezechukwu, and Sunday Urube. 2016. "Renal Angiomyolipoma in Pregnancy: Surgical Management with Fetal Preservation-Approach in a Developing Setting" Clinics and Practice 6, no. 4: 893. https://doi.org/10.4081/cp.2016.893

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