[Spontaneous rupture of renal angiomyolipoma: a case report].
A 55-year-old woman presented with sudden right lower abdominal pain. Computed tomography demonstrated retroperitoneal hematoma associated with minus-density area, diagnosed as spontaneous rupture of angiomyolipoma. Super-selective transarterial embolization was performed, but anemia and right abdominal pain became worse in spite of conservative therapy including transfusion, indicating re-rupture of the renal tumor. Although partial nephrectomy was planned, right nephrectomy was finally performed because of massive intraoperative bleeding. Accurate diagnosis and prompt treatment are required when life-threatening rupture of renal tumor is suspected.
Togo
Yoshikazu
Y
The Department of Urology, Hyogo College of Medicine.
Hashimoto
Takahiko
T
Yasuda
Kazuo
K
Higuchi
Yoshihide
Y
Maruyama
Takuo
T
Yamamoto
Shingo
S
Kondo
Nobuyuki
N
Nojima
Michio
M
Takiuchi
Hidekazu
H
Mori
Yoshinori
Y
Hirota
Seiichi
S
Shima
Hiroki
H
D000006:Abdomen, Acute; D018207:Angiomyolipoma / Q000601:surgery* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery* / Q000628:therapy; D008875:Middle Aged; D009392:Nephrectomy; D012422:Rupture, Spontaneous