1. Worsening right flank pain over a 24-hr period.
- Author
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Summers TA, Fultz PJ, and Sacks D
- Subjects
- Adult, Angiomyolipoma complications, Angiomyolipoma pathology, Female, Hemorrhage diagnostic imaging, Hemorrhage etiology, Hemorrhage pathology, Humans, Kidney diagnostic imaging, Kidney pathology, Kidney Neoplasms complications, Kidney Neoplasms pathology, Pain etiology, Pain pathology, Tomography, X-Ray Computed, Angiomyolipoma diagnostic imaging, Kidney Neoplasms diagnostic imaging, Pain diagnostic imaging
- Abstract
AML is a benign renal tumor composed of variable quantities of mature vascular, smooth muscle and fatty elements. They occur as an isolated finding, classically in middle-aged females, or in association with tuberous sclerosis. When symptomatic, they typically present with flank pain secondary to hemorrhage. CT is the diagnostic imaging modality of choice. The diagnosis can usually be made based on the recognition of fat within the lesion. When discovered, asymptomatic lesions are generally monitored by follow-up imaging studies, and if they remain stable, no intervention is required. Arterial embolization has become the recommended treatment of choice in some instances, particularly in cases with associated hemorrhage.
- Published
- 1994
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