Key result
Fibrinolysis for MI is linked to rare retroperitoneal hemorrhage following renal angiomyolipoma rupture.
Why the study?
There were no reported cases of renal angiomyolipoma rupture following fibrinolysis therapy for myocardial infarction in non-percutaneous intervention capable facilities.
Case Report (n=1)
This case highlights a rare but severe bleeding complication (retroperitoneal haemorrhage from a ruptured renal angiomyolipoma) following fibrinolysis for myocardial infarction.
Answers are grounded in this paper and cite their sources.
May warrant fibrinolysis caution in known angiomyolipoma; single case leaves open systematic risk assessment.
Angiomyolipoma is a common benign solid tumour that accounts for up to 3% of all renal tumours; most of the cases are sporadic. However, it can be part of other diseases. Angiomyolipomas are usually found incidentally through unrelated clinically indicated images but also, they can be diagnosed after complications have occurred. We report the case of retroperitoneal haemorrhage following the rupture of renal angiomyolipoma post-fibrinolysis, we are highlighting such a rare condition, the management options and the follow-up plan. The management of angiomyolipomas ranges from conservative treatment to surgical intervention depending on the patient's condition and the tumour's radiological features. Following-up on patients with angiomyolipomas depends on the symptoms and the tumour size. Till date, there is no reported cases of renal angiomyolipoma rupture post-fibrinolysis therapy as a treatment for myocardial infarction in non-percutaneous intervention capable facility.
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Al-Kindi et al. (2023) conducted a case report in Renal angiomyolipoma rupture post-fibrinolysis (n=1). Fibrinolysis therapy was evaluated on Retroperitoneal haemorrhage following rupture of renal angiomyolipoma. Fibrinolysis therapy for myocardial infarction was associated with a rare case of retroperitoneal haemorrhage following the rupture of a renal angiomyolipoma.
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