Title: Case 199: Aggressive Angiomyolipoma with Renal Vein Thrombosis and Pulmonary Fat Embolus
Abstract: HomeRadiologyVol. 269, No. 2 PreviousNext Diagnosis PleaseCase 199: Aggressive Angiomyolipoma with Renal Vein Thrombosis and Pulmonary Fat EmbolusGail Yarmish , Jason DiPoceGail Yarmish , Jason DiPoceAuthor AffiliationsFrom the Department of Radiology, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY 10305.Address correspondence to G.Y. (e-mail: [email protected]).Gail Yarmish Jason DiPocePublished Online:Nov 1 2013https://doi.org/10.1148/radiol.13121187MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractThere is considerable overlap between the imaging appearance of large exophytic angiomyolipoma and perirenal liposarcoma.References1. Martignoni G, Amin MB. World Health Organization classification of tumours. In: Eble JN, Sauter G, Epstein JI, Sesterhenn IA, eds. Pathology and genetics of tumours of the urinary system and male genital organs. Lyon, France: IARC, 2004; 65–67. Google Scholar2. Islam AH, Ehara T, Kato H, Hayama M, Kashiwabara T, Nishizawa O. Angiomyolipoma of kidney involving the inferior vena cava. Int J Urol 2004;11(10):897–902. Crossref, Medline, Google Scholar3. Sandstrom CK, Pugsley J, Mitsumori LM. Renal angiomyolipoma with nontraumatic pulmonary fat embolus. AJR Am J Roentgenol 2009;192(6):W275–W276. Crossref, Medline, Google Scholar4. Tan YS, Yip KH, Tan PH, Cheng WS. A right renal angiomyolipoma with IVC thrombus and pulmonary embolism. Int Urol Nephrol 2010;42(2):305–308. Crossref, Medline, Google Scholar5. Wang LJ, Wong YC, Chen CJ, See LC. Computerized tomography characteristics that differentiate angiomyolipomas from liposarcomas in the perinephric space. J Urol 2002;167(2 Pt 1):490–493. Crossref, Medline, Google Scholar6. Israel GM, Bosniak MA, Slywotzky CM, Rosen RJ. CT differentiation of large exophytic renal angiomyolipomas and perirenal liposarcomas. AJR Am J Roentgenol 2002;179(3):769–773. Crossref, Medline, Google Scholar7. Ellingson JJ, Coakley FV, Joe BN, Qayyum A, Westphalen AC, Yeh BM. Computed tomographic distinction of perirenal liposarcoma from exophytic angiomyolipoma: a feature analysis study. J Comput Assist Tomogr 2008;32(4):548–552. Crossref, Medline, Google Scholar8. Hélénon O, Merran S, Paraf F, et al. Unusual fat-containing tumors of the kidney: a diagnostic dilemma. RadioGraphics 1997;17(1):129–144. Link, Google Scholar9. Merran S, Vieillefond A, Peyromaure M, Dupuy C. Renal angiomyolipoma with calcification: CT-pathology correlation. Br J Radiol 2004;77(921):782–783. Crossref, Medline, Google Scholar10. Hammadeh MY. Calcification within angiomyolipoma. RadioGraphics 1998;18(1):4. Link, Google ScholarCongratulations to the 148 individuals and 10 resident groups that submitted the most likely diagnosis (aggressive angiomyolipoma with renal vein thrombosis and pulmonary fat embolus) for Diagnosis Please, Case 199. The names and locations of the individuals and resident groups, as submitted, are as follows:Individual responsesOsamu Abe, MD, PhD, Itabashi-ku, Tokyo, JapanJorge Ahualli, MD, San Miguel de Tucuman, Tucuman, ArgentinaStephane Aillaud, MD, Aix En Provence, Bouches De Rhones, FranceCanan Altay, MD, Izmir, TurkeyAlbert J. Alter, MD, PhD, Blanchardville, WisDean E. Baird, MD, Potomac, MdKenneth F. Baliga, MD, Rockford, IllPanagiotis Baroutas, MD, Athens, GreeceItsaso Barral Juez, MD, Donostia, Gipuzkoa, SpainSebastian Bravo-Grau, MD, MSc, Santiago, Region Metropolitana, ChileEric L. Bressler, MD, Minnetonka, MinnDouglas C. Brown, MD, Virginia Beach, VaAsmitha R. Buddam, MD, Jacksonville, FlaIan A. Burgess, MD, North Sydney, New South Wales, AustraliaDaniel Castellon, MD, Fuenlabrada, Madrid, SpainAntonio A. Cavalcanti, MD, Sao Paulo, BrazilMichael H. Childress, MD, Silver Spring, MdPerry Choi, MD, Richmond Hill, Ontario, CanadaSergio A. Criales Vera, MD, MexicoMarco A. Cura, MD, Highland Park, TexSrinivas Dandamudi, MD, Vijayawada, Andhra Pradesh, IndiaMarc G. De Baets, MD, Collina d'Oro, Ticino, SwitzerlandPeter de Baets, MD, Damme, BelgiumEduardo P. de Oliveira, Sao Jose do Rio Preto, BrazilRenata de Oliveira e Silva Brenner, MD, Sao Paulo, BrazilJon J. DeWitte, MD, Bishop, GaCooper W. Dean, MD, MS, Gainesville, FlaMustafa K. Demir, MD, Istanbul, TurkeyThaworn Dendumrongsup, MD, Songkhla, ThailandDionisios Drakopoulos, MD, Palaio Faliro, Athens, GreeceSeyed A. Emamian, MD, PhD, Rockville, MdChristian Escalona-Huerta, MD, Mexico City, MexicoJuliet H. Fallah, MD, Clarendon Hills, IllSusan M. Fanapour, DO, Lombard, IllToshihiro Furuta, MD, Minato-ku, Tokyo, JapanPedro Garcia, MD, PhD, Gijon, Asturias, SpainBradley S. Gluck, MD, Southampton, NYMark G. Goldshein, MD, Andover, MassWataru Gonoi, MD, PhD, Bunkyo-ku, Tokyo, JapanMaria A. Gosein, MBBS, FRCR, Santa Cruz, Trinidad And TobagoAnkur Goyal, MBBS, MD, New Delhi, Delhi, IndiaFlavius F. Guglielmo, MD, Moorestown, NJFerris M. Hall, MD, Brookline, MassSrinivasan Harish, MBBS, Burlington, Ontario, CanadaOsamu Hasegawa, MD, Koriyama, Fukushima, JapanD. C. Heasley, Jr, MD, Dallas, TexChristoph Hefel, Feldkirch, AustriaYuusuke Hirokawa, MD, Kyoto, JapanQuoc Bao L. Hoang, MD, Terrytown, LaMelanie D. Hoover, MD, Little Rock, ArkAlberto C. Iaia, MD, Wilmington, DelNoriatsu Ichiba, MD, Otsu, Shiga, JapanTakashi Ikeuchi, Moriyama, Shiga, JapanRichard N. Irion, MD, Murray, UtahDevika N. Jajoo, MD, Woodbridge, ConnAnitha James, MBBS, Newcastle under Lyme, Staffordshire, EnglandSharada Jayagopal, MD, East Williston, NYKenji Kachi, MD, Tsuchiura, Ibaraki, JapanKouhei Kamiya, MD, Tokyo, JapanKoki Kato, MD, Utsunomiya, Tochigi, JapanDavid P. Keating, MD, Jericho, VtTakao Kiguchi, MD, Niigata, JapanTakuji Kiryu, MD, PhD, Gifu, JapanMitchell A. Klein, MD, Mequon, WisVaranasi Krishna, MD, FRCR, SingaporeJohn J. Krol, MD, Lexington, KyKeshav J. Kulkarni, MBBS, FRCR, Derby, Staffordshire, EnglandKemmei Kuramoto, MD, Tachikawa, Tokyo, JapanMario A. Laguna, MD, Milwaukee, WisChee Hwee Lee, MD, Taipei, TaiwanDavid A. Lisle, MBBS, Brisbane, Queensland, AustraliaOleg Lysyy, MD, Rishon Lezion, IsraelGerasimos Maroulis, MD, Jonkoping, SwedenSatoshi Matsushima, MD, Tokyo, JapanAlbert Mendelson, MD, Northbrook, IllMehran Midia, MD, Burlington, Ontario, CanadaManabu Minami, MD, PhD, Yokohama, JapanKenichi Mizuki, MD, Hamamatsu-shi, Shizuoka-ken, JapanJose Mondello, MD, Buenos Aires, ArgentinaHiroyuki Morisaka, MD, Kofu, Yamanashi, JapanKyoko Nagai, MD, Yokohama, JapanKazuyoshi Nakamura, MD, Yokkaichi, Mie, JapanTammam N. Nehme, MD, Mattawan, MichHironori Nishibori, MD, Minokamo City, Gifu, JapanTomokazu Nishiguchi, MD, PhD, Osaka, JapanMizuki Nishino, MD, Boston, MassHiroshi Nobusawa, MD, PhD, Ota, Tokyo, JapanMichael D. Orsi, MD, San Antonio, TexScott N. Osborne, MD, Memphis, TennVishal Panchal, San Francisco, CalifDavid M. Panicek, MD, New York, NYIoannis E. Papachristos, MD, Agrinio, GreeceNarendrakumar P. Patel, MD, Newburgh, NYSuresh K. Patel, MD, Chicago, IllAruna R. Patil, MD, FRCR, Bangalore, Karnataka, IndiaYeliz Pekcevik, Izmir, TurkeyEmerson A. Pelarigo, Sao Paulo, BrazilIlias Primetis, MD, Athens, GreeceDaniel C. Rappaport, MD, Toronto, Ontario, CanadaRyan P. Rebello, MD, Dundas, Ontario, CanadaHugo Rodriguez Requena, MD, Madrid, SpainDaniel Romeu Vilar, MD, Bertamirans, A Coruna, SpainStefan Roosendaal, MD, PhD, Amsterdam, the NetherlandsRocky C. Saenz, DO, Farmington Hills, MichAkihiko Sakata, MD, Kyoto, JapanAkram Y. Saleh, MD, Baqaiq, Saudi ArabiaMeir H. Scheinfeld, MD, Suffern, NYStephen D. Scotti, MD, Charlottesville, VaAnthony J. Scuderi, MD, Johnstown, PaMatthew P. Shapiro, MD, Charlottesville, VaHideki Shima, MD, Narita, Chiba Prefecture, JapanTaro Shimono, MD, Osaka, JapanHo L. Sie, MD, Henderson, NevChrystia M. Slywotzky, MD, New York, NYDavid F. Sobel, MD, La Jolla, CalifLuis A. Sosa, MD, Milwaukee, WisJames D. Sprinkle, Jr, MD, Spotsylvania, VaEvan G. Stein, MD, PhD, New York, NYHongliang Sun, MD, Beijing, ChinaEliko Tanaka, MD, Yokohama, JapanShota Tatsumoto, Kyoto, JapanDouglas L. Teich, MD, Brookline, MassEugene Tong, MD, Austin, TexUlysses S. Torres, MD, Bady Bassitt, SP, BrazilMeric Tuzun, MD, Ankara, TurkeyToshiyuki Unno, MD, Tokyo, JapanPieter E. Vandaele, MD, Brugge, BelgiumPiet K. Vanhoenacker, MD, Moorsel, BelgiumPublio C. Viana, MD, Sao Paulo, BrazilRicardo Videla, Cordoba, CB, ArgentinaAinhoa Viteri, MD, Bilbao, Biscay, SpainChristopher P. Vittore, MD, Belvidere, IllIvan Vollmer, MD, Barcelona, SpainHaruo Watanabe, MD, Gifu, JapanNoritaka Yamakawa, Kyoto, JapanKoji Yamashita, MD, Fukuoka, JapanFernando I. Yamauchi, MD, Boston, MassKoichiro Yasaka, MD, Tokyo, JapanKurata Yasuhisa, MD, Kobe, Hyogo, JapanHajime Yokota, MD, Chiba, JapanRika Yoshida, MD, Utsunomiya, Tochigi, JapanSatoru Yoshida, MD, PhD, Muroran, Hokkaido, JapanKaneko You, Gifu, JapanStanko Yovichevich, MD, Sydney, New South Wales, AustraliaHenry R. Zayas, MD, Stuart, FlaDahua Zhou, MD, Old Westbury, NYYi Cheng Zhou, MD, Wuhan, Hub, ChinaAhmed Zidan, MD, Barcelona, SpainResident group responsesGuangdong General Hospital Resident Group, Quangzhou, Guangdong, ChinaHospital Universitario de Fuenlabrada Radiology Residents, Madrid, SpainInstituto do Câncer do Estado de São Paulo Residents, Sao Paulo SP, BrazilMater Dei Hospital Radiology Residents, MaltaMie University Hospital Radiology Residents, MD, Tsu, Mie, JapanPrince of Songkla University Radiology Residents, Songkla, ThailandTsukuba University Hospital Radiology Residents, Tsukuba, Ibaraki, JapanUniversidad Nacional Autonoma de Mexico CT Scanner Residents, Mexico City, MexicoUniversity of Pennsylvania Radiology Residents, Philadelphia, PaUniversity of Washington Radiology Residents, Seattle, Wash References Article HistoryReceived May 30, 2012; revision requested July 9; revision received July 22; final version accepted August 28.Published online: Nov 2013Published in print: Nov 2013 FiguresReferencesRelatedDetailsCited ByMacroscopic Fat Embolism after Cosmetic SurgeryEduardo Kaiser Ururahy Nunes Fonseca, Rodrigo Caruso Chate, 10 March 2022 | Radiology: Cardiothoracic Imaging, Vol. 4, No. 2Right renal angiomyolipoma with intracardiac extension and pulmonary embolismDanWang, ManweiLiu, YumanLi, MingxingXie2021 | Journal of Clinical Ultrasound, Vol. 49, No. 5Renal angiomyolipoma with renal vein extensionMariamKassimi, OmarAmriss, HindGuerroum, JihaneHabi, KarimBelhaj, MohamedMahi2021 | Radiology Case Reports, Vol. 16, No. 8Renal Angiomyolipomas with Inferior Vena cava invasionMaherAbdessater, JoeyEl Khoury, AnthonyKanbar, PietroKheir2020 | SN Comprehensive Clinical Medicine, Vol. 2, No. 12Sporadic angiomyolipoma of the kidney with associated renal vein tumor thrombusTanner J.Wright, Paula JenkinsColon, FundaVakar-Lopez, RamasamyBakthavatsalam, Sarah P.Psutka2020 | Current Problems in Cancer: Case Reports, Vol. 1Tumor in the veins: an abdominal perspective with an emphasis on CT and MR imagingAli DevrimKaraosmanoglu, Mehmet RuhiOnur, AycanUysal, DenizAkata, Mustafa NasuhOzmen, MusturayKarcaaltincaba2020 | Insights into Imaging, Vol. 11, No. 1Benigne mesenchymale Tumoren des AbdomensP. A.Kupczyk, G. M.Kukuk2018 | Der Radiologe, Vol. 58, No. 1Imaging in UrologyMitchellTublin, Joel B.Nelson, Amir A.Borhani, AlessandroFurlan, Matthew T.Heller, JudySquires2018Aggressive Renal Angiomyolipoma in a Patient With Tuberous Sclerosis Resulting in Pulmonary Tumor Embolus and Pulmonary InfarctionJohnMettler, SayfAl-Katib2018 | Urology, Vol. 119An unusual case of tuberous sclerosis incidentally discovered in adulthood: case report and review of the literatureDoloresFerrara, GianfrancoVallone, EnricoTedeschi, AndreaPonsiglione, ArnaldoStanzione, AntonioPisani, MassimoImbriaco2018 | Acta Radiologica Open, Vol. 7, No. 12Preoperative inferior vena cava filter implantation to prevent pulmonary fat embolism in a patient showing renal angiomyolipoma extension into the renal vein: A case report and literature reviewMotohiroFujiwara, NaokoKawamura, TetsuoOkuno2018 | Journal of Rural Medicine, Vol. 13, No. 2Fat-containing Retroperitoneal Lesions: Imaging Characteristics, Localization, and Differential DiagnosisAkram M. Shaaban, Maryam Rezvani, Marc Tubay, Khaled M. Elsayes, Paula J. Woodward, Christine O. Menias, 10 May 2016 | RadioGraphics, Vol. 36, No. 3Diagnostic Imaging: Genitourinary2016Pulmonary fat embolism of neoplastic originFláviaPinto, Miriam MennaBarreto, Daniela BrazParente, EdsonMarchiori2016 | Jornal Brasileiro de Pneumologia, Vol. 42, No. 6Malignant Renal Epithelioid Angiomyolipoma With Liver Metastasis After ResectionRafael A.Vicens, Corey T.Jensen, Brinda RaoKorivi, Priya R.Bhosale2014 | Journal of Computer Assisted Tomography, Vol. 38, No. 4Recommended Articles Wunderlich Syndrome: Comprehensive Review of Diagnosis and ManagementRadioGraphics2023Volume: 43Issue: 6Multimodality Imaging of Abdominopelvic Tumors with Venous InvasionRadioGraphics2020Volume: 40Issue: 7pp. 2098-2116Radiologic Assessment of Native Renal Vasculature: A Multimodality ReviewRadioGraphics2017Volume: 37Issue: 1pp. 136-156Renal Tumors of Childhood: Radiologic-Pathologic Correlation Part 2. The 2nd Decade: From the Radiologic Pathology ArchivesRadioGraphics2017Volume: 37Issue: 5pp. 1538-1558Imaging Manifestations of Hematologic Diseases with Renal and Perinephric InvolvementRadioGraphics2016Volume: 36Issue: 4pp. 1038-1054See More RSNA Education Exhibits Radiological Lexicon for Renal Mass Characterization: Pictorial ReviewDigital Posters2022Imaging of Rare Intravascular Tumors and Tumorlike LesionsDigital Posters2022Non-Wilms Kidney Tumors in Childhood - What the Radiologist Should KnowDigital Posters2022 RSNA Case Collection Clear Cell Renal Cell CarcinomaRSNA Case Collection2020Metastatic renal cell carcinomaRSNA Case Collection2022Clear cell renal cell carcinomaRSNA Case Collection2020 Vol. 269, No. 2 Metrics Altmetric Score PDF download
Publication Year: 2013
Publication Date: 2013-11-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 19
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot