“…Some patients, depending on the location and size of the tumors, may also have clinical symptoms such as fatigue, fever, low back pain, abdominal pain, hematuria, bleeding, dysuria, and renal dysfunction. Recently, Benincasa et al 4 reported a case of spontaneous renal rupture caused by PEComa, and although this is relatively rare in clinical practice, it should receive attention as the tumor is also known to cause paraneoplastic syndromes such as a high erythrocyte sedimentation rate, elevated platelet count, and hormonal and immune system abnormalities 5 …”