A Young Woman with Acute Abdominal Pain Following Minor Trauma

作者：Farrokh Donya; Pezeshki Rad Masoud; Reihani Hamidreza; Akhavan Reza; Abbasi Bita^*

来源：Iranian Red Crescent Medical Journal, 2017, 19(1): e34482.

DOI：10.5812/ircmj.34482

• Angiomyolipoma
• Retroperitoneal Space
• Computed Tomography
• Embolization

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.

• 出版日期2017-1