Document Type : Case reports

Authors

• Donya Farrokh ¹
• Masoud Pezeshki-Rad ^{1, 2}
• Hamidreza Reihani ³
• Reza Akhavan ³
• Bita Abbasi ¹

¹ Radiology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

² Faculty of Medicine, Vascular and Interventional Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran

³ Emergency Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

Abstract

Introduction: Renal angiomyolipoma (RAML), is a rare, benign tumor arising from renal mesenchymal cells. Frequently, it is asymptomatic and found incidentally. Spontaneous rupture with consequent retroperitoneal hemorrhage is an uncommon but catastrophic complication of RAML.
Case Presentation: Herein, we report a case of a ruptured RAML with a massive retroperitoneal hemorrhage, seen at the emergency department following a minor trauma. A computed tomography (CT) scan showed a left RAML with retroperitoneal hemorrhage. An angiography was performed and then a transarterial embolization. Cessation of bleeding and clinical stabilization occurred without deterioration of renal function.
Conclusions: In hemodynamically stable patients with a ruptured RAML, early detection by CT followed by selective arterial embolization may be lifesaving

Keywords

• Angiomyolipoma
• Retroperitoneal Space
• Computed Tomography
• Embolization