Document Type
Article
Publication Title
J Surg Case Rep
Abstract
Renal angiomyolipoma (AML) is a benign tumor with rare venous extension. We present a case of a patient with renal AML with inferior vena cava (IVC) tumor thrombus and acute pulmonary embolism (PE). A 34-year-old female presented with chest pain. Imaging revealed a 5 cm right renal AML, with tumor thrombus into the renal vein and IVC, and acute left lower lobe PE. Right radical nephrectomy and caval thrombectomy were performed using intraoperative ultrasound. Rarely, these benign tumors generate thrombus with caval extension. The location of IVC thrombus guides surgical planning, which may involve suprahepatic IVC control or cardiopulmonary bypass. Early involvement of a multidisciplinary team with extensive preoperative planning can help achieve successful outcomes.
First Page
174
Last Page
174
DOI
10.1093/jscr/rjae174
Publication Date
3-1-2024
Recommended Citation
Perdue, Jordyn; Wells, Alexandra; Patel, Krishna; Du Plessis, Wihan; Varre, Jaya; and Salibi, Patrick, "Multidisciplinary approach to the management of renal angiomyolipoma with inferior vena cava thrombus and pulmonary embolism: a case report." (2024). Surgery Articles. 16.
https://scholarlyworks.ohiohealth.com/surgery-articles/16