# Multidisciplinary approach to the management of renal angiomyolipoma with inferior vena cava thrombus and pulmonary embolism: a case report

## TL;DR

A 34-year-old woman with a rare case of kidney tumor extending into her vein and causing a lung clot was successfully treated with surgery and multidisciplinary care.

## Contribution

This case report highlights the rare complication of renal AML with IVC thrombus and PE, emphasizing the importance of multidisciplinary management.

## Key findings

- The patient had a 5 cm renal AML with tumor thrombus extending into the IVC and PE.
- Surgical removal with intraoperative ultrasound was successful.
- Multidisciplinary planning is crucial for managing such complex cases.

## Abstract

Renal angiomyolipoma (AML) is a benign tumor with rare venous extension. We present a case of a patient with renal AML with inferior vena cava (IVC) tumor thrombus and acute pulmonary embolism (PE). A 34-year-old female presented with chest pain. Imaging revealed a 5 cm right renal AML, with tumor thrombus into the renal vein and IVC, and acute left lower lobe PE. Right radical nephrectomy and caval thrombectomy were performed using intraoperative ultrasound. Rarely, these benign tumors generate thrombus with caval extension. The location of IVC thrombus guides surgical planning, which may involve suprahepatic IVC control or cardiopulmonary bypass. Early involvement of a multidisciplinary team with extensive preoperative planning can help achieve successful outcomes.