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Revista Cubana de Medicina Militar
versión impresa ISSN 0138-6557versión On-line ISSN 1561-3046
Resumen
RODRIGUEZ COLLAR, Tomás Lázaro et al. Overselective embolization of renal angiomyolipoma. Rev Cub Med Mil [online]. 2010, vol.39, n.3-4, pp.265-272. ISSN 0138-6557.
INTRODUCTION: The renal angiomyolipomas are uncommon benign tumors. As much the periodical observation like a surgical treatment as the selective arterial embolization are valid modalities for the management of such lesions, taking into account its size and the symptoms of patient as regards. OBJECTIVES: To present a case of renal angiomyolipoma, as well as the treatment applied. CASE PRESENTATION: A male patient aged 65 who came to consultation due to intensive lumboabdominal pain in right side. In ultrasound (US) it was possible to verify a hyperechogenic tumor image with fat density in the anterior face and in the middle part of right kidney. The lesion was corroborated by computed axial tomography with the typical features of an angiomyolipoma of approximately seven centimeters of diameter. A Overselective embolization was carried out by means of a mixed technique of Gelfoam and absolute alcohol. There was not complication and the patient has remained asymptomatic and in the tomography course carried out at 6 months of embolization, there was a decrease in the lesion size and of its angiomyogenic. CONCLUSIONS: The Overselective embolization of symptomatic renal angiomyolipomas is a safe and minimally invasive option of the elective treatment allowing the conservation of renal unit.
Palabras clave : Renal tumor; renal angiomyolipoma; Overselective renal embolization.