Angioembolisation for Bilateral Angiomyolipoma in TSC patient

  • S Vasudevan, MS, MCh (Urology) Medical College, Trivandrum, Kerala, 695011, India.
  • Arun Kumar Gupta Sree Chitra Institute of Medical Sciences and Technology, Trivandrum
Keywords: Tuberous sclerosis, Angiomyolipoma, Intralesional bleeding, Transarterial embolization

Abstract

Introduction: Bilateral Angiomyolipoma is a rare entity, usually associated with tuberous sclerosis. The condition is seen more in females and the tumours show progressive increase in size over a period of time bringing with it considerable risk of complications like haemorrhage and morbidity in the form of pain, haematuria, palpable mass, shock and hypotension.
Objective: To report a case of multiple large bilateral angiomyolipoma in a case of Tuberous sclerosis treated successfully with transarterial embolization and to review the literature concerning treatment of AML.
Case report: A 23 year old female patient, on treatment for epilepsy and a known case of tuberous sclerosis with family history too presented with abdominal pain and shock in a peripheral hospital. She was resuscitated and evaluated. CT Scan Abdomen revealed bilateral multifocal AMLs largest over 4 cm and with evidence of pseudo aneurysm with intralesional bleeding. After a preliminary angiogram confirming the intralesional bleed transarterial embolization was done with good results. A mild post embolization syndrome was managed conservatively. Imaging was repeated after 3 months.
Conclusion: Transarterial embolization is a safe option in the management of selected cases of bilateral multifocal AMLs seen in hereditary syndromes like tuberous sclerosis.

Author Biographies

S Vasudevan, MS, MCh (Urology), Medical College, Trivandrum, Kerala, 695011, India.

Associate Professor, Urology

Arun Kumar Gupta, Sree Chitra Institute of Medical Sciences and Technology, Trivandrum

Professor and HOD, Department of Radio Diagnosis

Published
2010-09-28
How to Cite
Vasudevan, S., & Gupta, A. (2010). Angioembolisation for Bilateral Angiomyolipoma in TSC patient. Kerala Medical Journal, 3(3), 94-97. https://doi.org/10.52314/kmj.2010.v3i3.181
Section
Case Series / Case Report