Skip to main content
SpringerLink
Log in

Bilateral renal angiomyolipoma coexistent with pulmonary lymphangioleiomyomatosis and tuberous sclerosis

  • Case Report
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

A case of bilateral renal angiomyolipoma coexistent with pulmonary lymphangioleiomyomatosis and tuberous sclerosis was described, being in shock with massive hematuria. The left giant angiomyolipoma, filling the almost entire abdomen, was complicated with two large hump and moniliform aneurysms. This life-threatening hemorrhage was successfully treated by transcatheter arterial embolization; packing mechanically detachable coils into the aneurysms and embolization of trunk of the left renal artery. Lymphangioleiomyomatosis has been suggested to be an incomplete expression of tuberous sclerosis. Although coexisting renal and pulmonary involvement in tuberous sclerosis is rare, it is important to recognize lymphangioleiomyomatosis as a pulmonary involvement of angiomyolipoma with tuberous sclerosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Walsh PC (ed.). Tuberous sclerosis. In: Cambell’s Urology, 8th edn, Philadelphia: Saunders, 2002: 1955–1958

  2. Uzzo RG, Libby DM and Levey SH (1994). Coexisting lymphangioleiomyomatosis and bilateral angiomyolipomas in a patient with tuberous sclerosis. J Urol 151: 1612–1615

    PubMed  CAS  Google Scholar 

  3. Murphy WM (ed.). Angiomyolipoma. In: Urological Pathology, 2nd edn. Philadelphia: Saunders, 1997: 476–481

  4. Stillwell TJ, Gomez MR and Kelalis PP (1987). Renal lesions in tuberous sclerosis. J Urol 138: 477–481

    PubMed  CAS  Google Scholar 

  5. Yamakado K, Tanaka N and Nakagawa T (2002). Renal angiomyolipoma: relationships between tumor size, aneurysm formation, and rupture. Radiology 225: 78–82

    PubMed  Google Scholar 

  6. Tuzel E, Kirkali Z and Mungan U (2000). Giant angiomyolipoma associated with marked pulmonary lesions suggesting lymphangioleiomyomatosis in a patient with tuberous sclerosis. Int Urol Nephrol 32: 219–222

    Article  PubMed  CAS  Google Scholar 

  7. Hsu TH, O’Hara J, Mehta A, Levitin A and Klein EA (2002). Nephron-sparing nephrectomy for giant renal angiomyolipoma associated with lymphangioleiomyomatosis. Urology 59: 138

    Article  PubMed  Google Scholar 

  8. Capron F, Ameille J and Leclerc P (1983). Pulmonary lymphangioleiomyomatosis and Bourneville’s tuberous sclerosis with pulmonary involvement: the same disease?. Cancer 52: 851–855

    Article  PubMed  CAS  Google Scholar 

  9. Pallisa E, Sanz P and Roman A (2002). Lymphangioleiomyomatosis: pulmonary and abdominal findings with pathologic correlation. Radiographics 22: S185–S198

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Saitama Medical Center, Saitama Medical School, 1981 Tsujido, Kamoda, Kawagoe, Saitama, 350-8550, Japan

    Soichiro Yoshida, Tetsuo Hayashi, Nobuyuki Ishii, Atsushi Yoshinaga, Rena Ohno, Toshiya Terao, Toru Watanabe & Takumi Yamada

  2. Department of Radiology, Saitama Medical Center, Saitama Medical School, Kawagoe, Saitama, Japan

    Hisato Osada

Authors
  1. Soichiro Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tetsuo Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nobuyuki Ishii
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Atsushi Yoshinaga
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rena Ohno
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Toshiya Terao
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Toru Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Takumi Yamada
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Hisato Osada
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Soichiro Yoshida.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yoshida, S., Hayashi, T., Ishii, N. et al. Bilateral renal angiomyolipoma coexistent with pulmonary lymphangioleiomyomatosis and tuberous sclerosis. Int Urol Nephrol 38, 413–415 (2006). https://doi.org/10.1007/s11255-005-4974-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-005-4974-7

Keywords

Search

Navigation