Main Article Content
Abstract
RÉSUMÉ
L’angiomyolipome rénal (AML) est une tumeur bénigne généralement asymptomatique qui peut se manifester par des douleurs abdominales, une masse palpable, hématurie. Nous rapportons un cas inhabituel d’une patiente de 44 ans qui a consulté pour une douleur lombaire droite. Les explorations paracliniques ont conclue à une angiomyolipome rénale droit compliqué d’hémaome rétro péritonéal. L’indication d’une néphrectomie totale d’hémostase droite par voie Trans péritonéale fut posée et réalisée. Les suites opératoires ont été simples. L’examen histologique a confirmé le diagnostic de l’AML rénale. Le recul sur six mois était normal.
ABSTRACT
Renal angiomyolipoma (AML) is a generally asymptomatic benign tumor that can present with abdominal pain, a palpable mass, and hematuria. We report an unusual case of a 44-year-old patient who consulted for right lumbar pain. Paraclinical investigations concluded that it was a right renal angiomyolipoma complicated by retroperitoneal hemaoma. The indication for a right hemostasis total nephrectomy via the transperitoneal route was established and performed. The postoperative course was uneventful. Histological examination confirmed the diagnosis of renal AML.Histological examination confirmed the diagnosis of renal.The six-month follow-up was normal.
Keywords
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- 1. Vargas MI, Gariani J, Sztajzel R, et al. Ischémie médullaire : conseils pratiques d'imagerie, astuces et pièges. Am J Neuroradiol. 2015 ; 36 : 825–830. doi : 10.3174/ajnr. A4118. [ DOI ] [ Article PMC gratuit ] [ PubMed ] [ Google Scholar ]
- 2. Leys D., W.J., Lucas C, Pruvo JP, INFARCTUS MÉDULLAIRES. Encylc Méd Chir ed. Vol. Neurologie. 1996, Paris. 7 p
- 3. Masson, C., et al., Spinal cord infarction: clinical and magnetic resonance imaging findings and short-term outcome. J Neurol Neurosurg Psychiatry, 2004. 75(10): p. 1431-5 ;
- 4. Salvador de la Barrera, S., et al., Spinal cord infarction: prognosis and recovery in a series of 36 patients. Spinal Cord, 2001. 39(10): p. 520-5
- 5. AMATO Y, MACHIDA T, KUMAZAKI T. Spinal cord infarcts with contrast enhancement of the cauda equina: two cases. Neuroradiology 1998 ; 40 : 669-72
- 6. ESTRERA AL, MILLER CC, HUYNH TTT, PORAT E, SAFI HJ. Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2001 ; 72 : 1225-31
- 7. Sandson, T.A., & Friedman, J.H. (1989). Spinal cord infarction: Report of 8 cases and review of the literature. Medicine, 68(5), 282-292
- 8. Mannen, T. (1966). Vascular lesions in the spinal cord in the aged. Geriatrics, 21(2), 15 1-160
- 9. Blackwood, W., Woollam, D.H.M., Millen, J.W., & Pennybacker, J. (1958). Discussion on vascular disease of the spinal cord. Proceedings of the Royal Society of Medicine, 51, 540-550
- 10. El-Toraei I, Juler G. Ischemic myelopathy. Angiology. 1979 Feb;30(2):81-94. doi: 10.1177/000331977903000202. PMID: 373514.
- 11. Luigetti M, Cianfoni A, Conte A, Colosimo C, Tonali PA, Sabatelli M. Posterior ischaemic myelopathy associated with cocaine abuse. Intern Med J. 2010;40(10):732–3
- 12. Robertson, C.E., et al., Recovery after spinal cord infarcts: long-term outcome in 115 patients. Neurology, 2012. 78(2): p. 114-21
- 13. Nedeltchev, K., et al., Long-term outcome of acute spinal cord ischemia syndrome. Stroke, 2004. 35(2): p. 560-5
- 14. Berthelot, L., 2013. Douleurs à la phase aiguë et à distance d'un infarctus médullaire : étude rétrospective, multicentrique , DUMAS - Dépôt Universitaire de Mémoires Après Soutenance. France. Extrait de https://coilink.org/20.500.12592/4vehk9g le 31 mars 2025. COI : 20.500.12592/4vehk9g
- 15. Pelser H, van Gijn J. Spinal infarction. A follow-up study. Stroke. 1993 Jun;24(6):896-8. doi: 10.1161/01.str.24.6.896. PMID: 8506562.New, P.W. et C.L. McFarlane, Retrospective case series of outcomes following spinal cord infarction. Eur J Neurol, 2012. 19(9): p. 1207-12
- 16. New, P.W. et C.L. McFarlane, Retrospective case series of outcomes following spinal cord infarction. Eur J Neurol, 2012. 19(9): p. 1207-12
- 17. Cheshire, W.P., et al., Spinal cord infarction: etiology and outcome. Neurology, 1996. 47(2): p. 321-30
- 18. de Seze, M., et al., [Functional prognosis of paraplegia due to cord ischemia: a retrospective study of 23 patients]. Rev Neurol (Paris), 2003. 159(11): p. 1038- 45
- 19. Kumral, E., et al., Spinal ischaemic stroke: clinical and radiological findings and short-term outcome. Eur J Neurol, 2011. 18(2): p. 232-9
- 20. Weidauer S, Nichtweiß M, Hattingen E, et al. Spinal cord ischemia: aetiology, clinical syndromes and imaging features. Neuroradiology 2015; 57: 241-257
- 21. Wong JJ, Dufton J, Mior SA. Spontaneous conus medullaris infarction in a 79 year-old female with cardiovascular risk factors: a case report. J Can Chiropr Assoc 2012; 56: 58-65
- 22. Novy, J., et al., Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients. Arch Neurol, 2006. 63(8): p. 1113- 20
- 23. Melissano G, Civilini E, Bertoglio L, et al. Angio-CT imaging of the spinal cord vascularization: a pictorial essay. Eur J Vasc Endovasc Surg 2010; 39: 436-440
- 24. Cheng, M.Y., et al., Spinal cord infarction in Chinese patients. Clinical features, risk factors, imaging and prognosis. Cerebrovasc Dis, 2008. 26(5): p. 502-8
- 25. Duggal N, Lach B. Selective vulnerability of the lumbosacral spinal cord after cardiac arrest and hypotension. Stroke 2002;33:116-121
- 26. Alexander M, Patil A, Mani S, et al. Spectrum of clinicoradiological findings in spinal cord infarction: report of three cases and review of the literature. Ann Indian Acad Neurol 2013;16:190
- 27. Monteiro L, Leite I, Pinto JA, et al. Spontaneous thoracolumbar spinal cord infarction: report of six cases. Acta Neurol Scand 1992;86:563-566
- 28. Yadav N, Pendharkar H, Kulkarni GB. Spinal Cord Infarction: Clinical and Radiological Features. J Stroke Cerebrovasc Dis. 2018 Oct;27(10):2810-2821. doi: 10.1016/j.jstrokecerebrovasdis.2018.06.008. Epub 2018 Aug 6. PMID: 30093205
- 29. Yuh WT, Marsh EE, Wang AK, et al. MR imaging of spinal cord and vertebral body infarction. Am J Neuroradiol 1992;13:145-154] et Stefan Wei dauer et al.[ Weidauer S, Nichtweiss M, Lanfermann H, et al. Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology 2002;44:851-857
- 30. Agee, J.M., Flanagan, T., Blackboume, L.H., Kron, I.L., & Tribble, C.G. (1991). Reducing postischemic paraplegia using conjugated superoxide dismutase. Annals of Thoracic Surgery, 51(6), 91 1-914
- 31. Madden, K.P., Clark, W.M., & Zivin, J.A. (1993). Delayed therapy of experimental ischemia with competitive Nmethyl-D-aspartate antagonists in rabbits. Stroke, 24(77), 1,068-1,071
- 32. SNYMAN, Salomé, QUESNEL, Laetitia, et FAIVRE, Anthony. Thrombolyse d’un infarctus médullaire, l’exemple d’une histoire évolutive spectaculaire. Revue Neurologique, 2022, vol. 178, p. S82
- 33. Rokkas, C.K., Helfrich, L.R., Lobner, D.C., Choi, D.W., & Kouchoukos, N.T. (1994). Dextrorphan inhibits the release of excitatory amino acids during spinal cord ischemia. Annals of Thoracic Surgery, 58(2), 3 12-3 19
- 34. Bowes, M.P., Burhop, K.E., & Zivin, J.A. (1994). Diaspirin cross-linked hemoglobin improves neurological outcome following reversible but not irreversible CNS ischemia in rabbits. Stroke, 25(1 I), 2,253-2,257
- 35. Leys D, Cordonnier C, Masson C, Pruvo JP. Infarctus médullaires. Neurologie 2005, 17-071-A-15.
References
1. Vargas MI, Gariani J, Sztajzel R, et al. Ischémie médullaire : conseils pratiques d'imagerie, astuces et pièges. Am J Neuroradiol. 2015 ; 36 : 825–830. doi : 10.3174/ajnr. A4118. [ DOI ] [ Article PMC gratuit ] [ PubMed ] [ Google Scholar ]
2. Leys D., W.J., Lucas C, Pruvo JP, INFARCTUS MÉDULLAIRES. Encylc Méd Chir ed. Vol. Neurologie. 1996, Paris. 7 p
3. Masson, C., et al., Spinal cord infarction: clinical and magnetic resonance imaging findings and short-term outcome. J Neurol Neurosurg Psychiatry, 2004. 75(10): p. 1431-5 ;
4. Salvador de la Barrera, S., et al., Spinal cord infarction: prognosis and recovery in a series of 36 patients. Spinal Cord, 2001. 39(10): p. 520-5
5. AMATO Y, MACHIDA T, KUMAZAKI T. Spinal cord infarcts with contrast enhancement of the cauda equina: two cases. Neuroradiology 1998 ; 40 : 669-72
6. ESTRERA AL, MILLER CC, HUYNH TTT, PORAT E, SAFI HJ. Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2001 ; 72 : 1225-31
7. Sandson, T.A., & Friedman, J.H. (1989). Spinal cord infarction: Report of 8 cases and review of the literature. Medicine, 68(5), 282-292
8. Mannen, T. (1966). Vascular lesions in the spinal cord in the aged. Geriatrics, 21(2), 15 1-160
9. Blackwood, W., Woollam, D.H.M., Millen, J.W., & Pennybacker, J. (1958). Discussion on vascular disease of the spinal cord. Proceedings of the Royal Society of Medicine, 51, 540-550
10. El-Toraei I, Juler G. Ischemic myelopathy. Angiology. 1979 Feb;30(2):81-94. doi: 10.1177/000331977903000202. PMID: 373514.
11. Luigetti M, Cianfoni A, Conte A, Colosimo C, Tonali PA, Sabatelli M. Posterior ischaemic myelopathy associated with cocaine abuse. Intern Med J. 2010;40(10):732–3
12. Robertson, C.E., et al., Recovery after spinal cord infarcts: long-term outcome in 115 patients. Neurology, 2012. 78(2): p. 114-21
13. Nedeltchev, K., et al., Long-term outcome of acute spinal cord ischemia syndrome. Stroke, 2004. 35(2): p. 560-5
14. Berthelot, L., 2013. Douleurs à la phase aiguë et à distance d'un infarctus médullaire : étude rétrospective, multicentrique , DUMAS - Dépôt Universitaire de Mémoires Après Soutenance. France. Extrait de https://coilink.org/20.500.12592/4vehk9g le 31 mars 2025. COI : 20.500.12592/4vehk9g
15. Pelser H, van Gijn J. Spinal infarction. A follow-up study. Stroke. 1993 Jun;24(6):896-8. doi: 10.1161/01.str.24.6.896. PMID: 8506562.New, P.W. et C.L. McFarlane, Retrospective case series of outcomes following spinal cord infarction. Eur J Neurol, 2012. 19(9): p. 1207-12
16. New, P.W. et C.L. McFarlane, Retrospective case series of outcomes following spinal cord infarction. Eur J Neurol, 2012. 19(9): p. 1207-12
17. Cheshire, W.P., et al., Spinal cord infarction: etiology and outcome. Neurology, 1996. 47(2): p. 321-30
18. de Seze, M., et al., [Functional prognosis of paraplegia due to cord ischemia: a retrospective study of 23 patients]. Rev Neurol (Paris), 2003. 159(11): p. 1038- 45
19. Kumral, E., et al., Spinal ischaemic stroke: clinical and radiological findings and short-term outcome. Eur J Neurol, 2011. 18(2): p. 232-9
20. Weidauer S, Nichtweiß M, Hattingen E, et al. Spinal cord ischemia: aetiology, clinical syndromes and imaging features. Neuroradiology 2015; 57: 241-257
21. Wong JJ, Dufton J, Mior SA. Spontaneous conus medullaris infarction in a 79 year-old female with cardiovascular risk factors: a case report. J Can Chiropr Assoc 2012; 56: 58-65
22. Novy, J., et al., Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients. Arch Neurol, 2006. 63(8): p. 1113- 20
23. Melissano G, Civilini E, Bertoglio L, et al. Angio-CT imaging of the spinal cord vascularization: a pictorial essay. Eur J Vasc Endovasc Surg 2010; 39: 436-440
24. Cheng, M.Y., et al., Spinal cord infarction in Chinese patients. Clinical features, risk factors, imaging and prognosis. Cerebrovasc Dis, 2008. 26(5): p. 502-8
25. Duggal N, Lach B. Selective vulnerability of the lumbosacral spinal cord after cardiac arrest and hypotension. Stroke 2002;33:116-121
26. Alexander M, Patil A, Mani S, et al. Spectrum of clinicoradiological findings in spinal cord infarction: report of three cases and review of the literature. Ann Indian Acad Neurol 2013;16:190
27. Monteiro L, Leite I, Pinto JA, et al. Spontaneous thoracolumbar spinal cord infarction: report of six cases. Acta Neurol Scand 1992;86:563-566
28. Yadav N, Pendharkar H, Kulkarni GB. Spinal Cord Infarction: Clinical and Radiological Features. J Stroke Cerebrovasc Dis. 2018 Oct;27(10):2810-2821. doi: 10.1016/j.jstrokecerebrovasdis.2018.06.008. Epub 2018 Aug 6. PMID: 30093205
29. Yuh WT, Marsh EE, Wang AK, et al. MR imaging of spinal cord and vertebral body infarction. Am J Neuroradiol 1992;13:145-154] et Stefan Wei dauer et al.[ Weidauer S, Nichtweiss M, Lanfermann H, et al. Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology 2002;44:851-857
30. Agee, J.M., Flanagan, T., Blackboume, L.H., Kron, I.L., & Tribble, C.G. (1991). Reducing postischemic paraplegia using conjugated superoxide dismutase. Annals of Thoracic Surgery, 51(6), 91 1-914
31. Madden, K.P., Clark, W.M., & Zivin, J.A. (1993). Delayed therapy of experimental ischemia with competitive Nmethyl-D-aspartate antagonists in rabbits. Stroke, 24(77), 1,068-1,071
32. SNYMAN, Salomé, QUESNEL, Laetitia, et FAIVRE, Anthony. Thrombolyse d’un infarctus médullaire, l’exemple d’une histoire évolutive spectaculaire. Revue Neurologique, 2022, vol. 178, p. S82
33. Rokkas, C.K., Helfrich, L.R., Lobner, D.C., Choi, D.W., & Kouchoukos, N.T. (1994). Dextrorphan inhibits the release of excitatory amino acids during spinal cord ischemia. Annals of Thoracic Surgery, 58(2), 3 12-3 19
34. Bowes, M.P., Burhop, K.E., & Zivin, J.A. (1994). Diaspirin cross-linked hemoglobin improves neurological outcome following reversible but not irreversible CNS ischemia in rabbits. Stroke, 25(1 I), 2,253-2,257
35. Leys D, Cordonnier C, Masson C, Pruvo JP. Infarctus médullaires. Neurologie 2005, 17-071-A-15.