Abstract
We report a case of a 60-year-old woman who had a delayed presentation of duodenal obstruction as a result of a bleeding right renal angiomyolipoma (AML) with retroperitoneal hematoma. Her duodenal obstruction did not improve upon conservative management, and a computed tomography (CT)-guided drainage of the retroperitoneal hematoma was subsequently performed. Post-intervention, CT scan confirmed hematoma resolution, and she was able to resume normal diet afterwards. We present this first reported case of a bleeding renal AML with retroperitoneal hematoma causing duodenal obstruction and discuss on the management of such condition.
MeSH terms
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Angiomyolipoma / complications
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Angiomyolipoma / diagnosis
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Angiomyolipoma / diagnostic imaging*
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Angiomyolipoma / surgery
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Diagnosis, Differential
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Drainage / methods
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Duodenal Diseases / diagnosis
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Duodenal Diseases / diagnostic imaging*
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Duodenal Diseases / surgery
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Female
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Follow-Up Studies
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Hemoperitoneum / diagnostic imaging*
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Hemoperitoneum / etiology
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Hemoperitoneum / surgery
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Humans
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Intestinal Obstruction / diagnosis
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Intestinal Obstruction / diagnostic imaging*
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Intestinal Obstruction / surgery
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Kidney Neoplasms / complications
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Kidney Neoplasms / diagnosis
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Kidney Neoplasms / diagnostic imaging*
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Kidney Neoplasms / surgery
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Middle Aged
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Risk Assessment
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Tomography, X-Ray Computed / methods
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Treatment Outcome