Angiomyolipoma Causing Spontaneous Rupture of the Kidney

Abstract

A case of spontaneous rupture of a renal angiomyolipoma with massive retroperitoneal haemorrhage necessitating emergency nephrectomy is presented. Diagnostic features and treatment of angiomyolipoma are discussed.

Bilateral Renal Angiomyolipoma: Involvement of the Contralateral Kidney after 25 Years – An Unusual Case

“…There have been fre quent reports of symptomatic renal angiomyolipoma with flank pain as a sign of spontaneous bleeding into the tumor [7,8,11,13,15], There are only few reports of massive retroperitoneal bleeding from the tumor causing unclear abdominal symptoms and even acute abdominal symptoms [17]. There has been no report of acute abdominal symptoms combined with obstipation, caused by the mass of the tumor, as in our case.…”

Recurrent Bleeding of Angiomyolipomas in Tuberous Sclerosis

“…According to Kristofferson et al [26], 10 cases had been reported up to 1986 [25,27], In our patient the hemor rhage, which could not be controlled by conservative means, was a compelling indication for nephrectomy. On the other hand, the goal in the treatment of symptomatic angiomyolipomas must be to retain as much as possible of the functional kidney tissue.…”

“…There are relatively few reports [25,27] of massive ret roperitoneal hemorrhage from the tumor, leading to un clear abdominal symptoms or in some cases an acute abdominal complaint leading to immediate surgery [25]. According to Kristofferson et al [26], 10 cases had been reported up to 1986 [25,27], In our patient the hemor rhage, which could not be controlled by conservative means, was a compelling indication for nephrectomy.…”

Sarcomatous Carcinoma of the Kidney Presenting as Spontaneous Retroperitoneal Hemorrhage

“…Besides adenocarcinomas, renal tumors that have been reported to bleed spontaneously include papillary carcinoma of the renal pel vis [3], angiomyolipoma [1,[4][5][6][7], angiosarcoma [8], adenoma [9], fibromyoma [10], fibroxanthoma [11] and Wilms' tumors [1], This case refers to a renal cell sarcomatous carcinoma co-expressing both cytokeratin and vimentin and presenting as spontaneous retroperi toneal hemorrhage.…”