<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852020000500009</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v80i5.670</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Angioembolization prior to nephrectomy in Wunderlich syndrome: a case report of collision angiomyolipoma and clear cell renal cell carcinoma]]></article-title>
<article-title xml:lang="es"><![CDATA[Angioembolización previa a nefrectomía en el síndrome de Wünderlich: reporte de caso de un angiomiolipoma mixto y carcinoma renal de células claras]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pallares-Méndez]]></surname>
<given-names><![CDATA[Rigoberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cervantes-Miranda]]></surname>
<given-names><![CDATA[Daniel Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Aranda]]></surname>
<given-names><![CDATA[Katherine Lyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-González]]></surname>
<given-names><![CDATA[Adrian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arrambide-Gutiérrez]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Hospital Universitario &#8220;Dr. José Eleuterio González&#8221; ]]></institution>
<addr-line><![CDATA[ Monterrey]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ Monterrey]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>80</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852020000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852020000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852020000500009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 29-year-old man with previously undiagnosed tuberous sclerosis complex arrived at the emergency department due to anemia-related gross hematuria. A computed tomography scan revealed a bilateral renal mass consistent with angiomyolipoma and a right retroperitoneal hematoma. Angioembolization of the right renal artery was performed prior to nephrectomy. The histopathologic results were collision angiomyolipoma and clear cell renal cell carcinoma.  Relevance: The multisystemic presentation of tuberous sclerosis complex combined with the histologic findings of collision angiomyolipoma and clear cell renal cell carcinoma is a rare entity in the medical literature.  Clinical implications: Angioembolization results in fewer postoperative complications of ileus, pain, or infection, and its utility in the present case was important for facilitating the approach during nephrectomy and reducing the risk for intraoperative bleeding.  Conclusions: The present case report provides a description of Wunderlich syndrome in a patient with tuberous sclerosis complex and the histopathologic diagnosis of a collision tumor, consisting of angiomyolipoma and clear cell renal cell carcinoma. Angioembolization of the right renal artery was performed before nephrectomy, reducing the risk for intraoperative bleeding.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Un paciente masculino de 29 años con complejo de esclerosis tuberosa no diagnosticado previamente se presenta al departamento de urgencias por hematuria macroscópica anemizante. La tomografía computarizada reveló una masa renal bilateral compatible con angiomiolipoma y un hematoma retroperitoneal derecho. Se realizó una angioembolización de la arteria renal derecha previo a la nefrectomía. Los resultados de histopatología revelaron un tumor de colisión de angiomiolipoma y carcinoma renal de células claras.  Relevancia: La presentación multisistémica del complejo de esclerosis tuberosa en combinación con los hallazgos histológicos de un tumor mixto de angiomiolipoma y carcinoma de células claras es una entidad poco frecuente en la bibliografía existente.  Implicaciones clínicas: La angioembolización presenta menos complicaciones posoperatorias como íleo, dolor postoperatorio o infecciones, además en este caso, es de utilidad importante para facilitar el abordaje durante la nefrectomía y disminuir así el riesgo de sangrado transoperatorio.  Conclusiones: Se describe un reporte de caso de Síndrome de Wünderlich en un paciente con complejo de esclerosis tuberosa, con un diagnóstico histopatológico de tumor mixto consistente en angiomiolipoma y carcinoma de células claras donde la angioembolización de la arteria renal antes de la nefrectomía se usó para reducir el riesgo de hemorragia intraoperatoria durante la nefrectomía.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Angiomyolipoma]]></kwd>
<kwd lng="en"><![CDATA[Wunderlich syndrome]]></kwd>
<kwd lng="en"><![CDATA[Clear cell renal cell carcinoma]]></kwd>
<kwd lng="en"><![CDATA[Renal angioembolization]]></kwd>
<kwd lng="en"><![CDATA[Collision tumor]]></kwd>
<kwd lng="en"><![CDATA[Mixed tumor]]></kwd>
<kwd lng="es"><![CDATA[Angiomiolipoma]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Wunderlich]]></kwd>
<kwd lng="es"><![CDATA[Carcinoma de células claras]]></kwd>
<kwd lng="es"><![CDATA[angioembolización renal]]></kwd>
<kwd lng="es"><![CDATA[tumor de colisión]]></kwd>
<kwd lng="es"><![CDATA[Tumor mixto]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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