Retroperitoneal haemorrhage caused by a renal angiomyolipoma

• Published in: Emergency medicine journal : EMJ Vol. 23; no. 6; pp. 464 - 465
• Main Authors: Ünlü, C, Lamme, B, Nass, P, Bolhuis, H W
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine 01.06.2006; BMJ Publishing Group LTD; BMJ Group
• Subjects: Abdomen; Accidents, Traffic; Adult; AML; angiomyolipoma; Angiomyolipoma - complications; Angiomyolipoma - diagnostic imaging; Calcification; computed tomography; Embolization, Therapeutic; Female; Hemorrhage - diagnostic imaging; Hemorrhage - etiology; Hemorrhage - therapy; Humans; Kidney Neoplasms - complications; Kidney Neoplasms - diagnostic imaging; Medical imaging; Retroperitoneal Space; Short Report; Tomography, X-Ray Computed; Treatment Outcome; Tumors; Veins & arteries
• ISSN: 1472-0205; 1472-0213
• DOI: 10.1136/emj.2005.033191

Renal angiomyolipoma (AML) is a benign renal tumour and is nowadays considered a relatively common lesion. When an AML increases in size or becomes symptomatic, embolisation via the renal artery should then be considered, because rupture is an important complication and interventional therapies are required to stop bleeding. We present a 21 year old woman who was seen at the emergency department following a low velocity trauma. After a period of 9 weeks, clinical examination and radiological examination revealed a haemorrhage from a renal AML, which was treated by selective embolisation. A discussion of the relevant literature is also presented.