PMC6064195_01
CT showing massive bilateral AMLs and hematoma formation on right upper pole. AML, angiomyolipoma.
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Renal CT angiography suggested his right kidney was actively bleeding in the upper pole (Fig. 1) and confirmed on direct angiography (Fig. 2); so decision was made to proceed to selective embolization.
Angiogram, pre-gelfoam, and tornado coils. Bleeding in upper pole identified.
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As such it was embolized again; on this occasion with gelfoam and four "tornado" coils (Figs. 3 and 4).
Postembolization. Note absence of contrast extravasation beyond the coils.
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As such it was embolized again; on this occasion with gelfoam and four "tornado" coils (Figs. 3 and 4).