A young woman with acute abdominal pain following minor trauma

Abstract EN

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.