PMC4976148_01
Coronal view of CT urogram showing extensive bilateral AML. Red arrows denote right AML. Blue arrows denote left AML.
CRIN2016-4595014.001.jpg
PMC4976148_01_CRIN2016-4595014.001.jpg
fig1
The impression was large bilateral renal AML's with marked hydronephrosis, possible areas of extravasated IV contrast within the left kidney, and delayed renal excretion of contrast indicating renal dysfunction (Figure 1).
(a) Image of left renal arteriography prior to embolization that showed enlarged kidney with extensive tumor vasculature. Red arrows demonstrate renal vasculature as seen on arteriography. (b) Image after left renal embolization with visualization of metallic coils. Blue arrow indicates metallic coil.
CRIN2016-4595014.002.jpg
PMC4976148_01_CRIN2016-4595014.002.jpg
fig2
The patient was then taken by IR and had renal arteriography from a right groin approach and left renal embolization (Figure 2).
Transverse section of CT abdomen-pelvis after left nephrectomy (indicated by arrow).
CRIN2016-4595014.003.jpg
PMC4976148_01_CRIN2016-4595014.003.jpg
fig3
Our patient underwent left nephrectomy and left ureterectomy with left adrenal sparing day 5 of admission (Figure 3).