Some residual stenoses improved sonographically after PTA. Clinical results at 1 year are highly variable within different groups. Clinical outcome of patients with residual stenoses did not differ from patients with good DUS results, whereas clinical outcome in patients with recurrent stenoses was worse than in the other groups.

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.A 21 year old woman presented to the emergency department after a low velocity bicycle to scooter trauma, where the diagnosed injuries were a cerebral contusion and fractures of the metatarsal IV and V in the left foot. She was treated conservatively and discharged the same day. Nine weeks later, she was admitted to our hospital with general fatigue, nausea, vomiting, and sudden abdominal and right flank pain. Physical examination revealed a painful right abdomen with guarding and no palpable tender mass.Laboratory examination showed a decrease in haemoglobin level (from 8.2 to 5.6 mmol/l) and microscopic haematuria. There were no other abnormalities, and vital signs were stable. Subsequent abdominal computed tomography (CT) scan was performed, revealing a right renal rupture with per-

Residual stenosis on DUS 1 day after PTA is prognostic for failure within 1 year. However, good DUS results after PTA cannot predict haemodynamic success. Haemodynamic success at 1 year does not imply clinical success.

A case is presented with a tumour in the left atrium as well as in the right ventricle. During the initial investigation of the atrial myxoma, the ventricular tumour was overlooked and a second operation was necessary. Once the diagnosis of myxoma is made, a second synchronous tumour should always be carefully sought.

No abstract