Author/Authors :
Farrokh، Donya نويسنده Dept. of Radiology, Imam Reza Hospital, Mashad University of Medical Sciences, Mashad, Iran , , Pezeshki Rad، Masoud نويسنده Vascular and Endovascular Surgery Research Center, Department of Vascular Surgery, Emamreza Hospital, Mashhad University of Medical Sciences, Mashhad , , Reihani، Hamidreza نويسنده Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran , , Akhavan، Reza نويسنده School of Medicine, Mashhad University of Medical Sciences, Mashhad , , Abbasi ، Bita نويسنده Department of Radiology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. ,
Abstract :
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. 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. In hemodynamically stable patients with a ruptured RAML, early detection by CT followed by selective arterial embolization may be lifesaving.
