Renal angiomyolipoma in pregnancy: surgical management with fetal preservation - Approach in a developing setting

  • Fred O. Ugwumba | fredugwumba@gmail.com Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.
  • Emeka F. Nnakenyi Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.
  • Okechukwu C. Okafor Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.
  • Augustine C. Onuh Department of Radiology, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.
  • Paschalina C. Ezechukwu Department of Obstetrics and Gynecology, Mother of Christ Specialist Hospital, Ogui, Enugu, Nigeria.
  • Sunday Urube Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.

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.

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Author Biographies

Fred O. Ugwumba, Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State

CONSULTANT UROLOGIC SURGEON

Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital ENUGU, ENUGU STATE NIGERIA.

Emeka F. Nnakenyi, Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Enugu State

CONSULTANT PATHOLOGIST

DEPARTMENT OF MORBID ANATOMY, UNTH, ENUGU

Okechukwu C. Okafor, Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu, Enugu State

CONSULTANT PATHOLOGIST

DEPARTMENT OF MORBID ANATOMY, UNTH

Augustine C. Onuh, Department of Radiology, University of Nigeria Teaching Hospital, Enugu, Enugu State

CONSULTANT RADIOLOGIST

DEPARTMENT OF RADIOLOGY, UNTH , ENUGU

Paschalina C. Ezechukwu, Department of Obstetrics and Gynecology, Mother of Christ Specialist Hospital, Ogui, Enugu

CONSULTANT OBSTETRICIAN/GYNAECOLOGIST

DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, MOTHAER OF CHRIST SPECIALIST HOSPITAL, OGUI, ENUGU

Sunday Urube, Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State

SENIOR SURGICAL REGISTRAR

urology unit, DEPARTMENT OF SURGERY, UNTH, ENUGU

Published
2016-12-07
Section
Case Reports
Keywords:
Bleeding, renal angiomyolipoma, pregnancy, surgical, management.
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How to Cite
Ugwumba, F. O., Nnakenyi, E. F., Okafor, O. C., Onuh, A. C., Ezechukwu, P. C., & Urube, S. (2016). Renal angiomyolipoma in pregnancy: surgical management with fetal preservation - Approach in a developing setting. Clinics and Practice, 6(4). https://doi.org/10.4081/cp.2016.893