A case report of spontaneous rupture of a renal angiomyolipoma in a post-partum 21-year-old patient.
BACKGROUND
Renal angiomyolipomas (AML) are benign tumours containing vascular, smooth muscle and fatty elements. The majority of renal AML run an asymptomatic, benign course. The main associated complication is that of retro-peritoneal or intra-tumoural haemorrhage. Treatment options include conservative management versus interventional procedures such as total or partial nephrectomy, cryotherapy or embolization.


METHODS
We describe a case of symptomatic, spontaneous rupture of AML in the immediate post-partum period of a patient treated under our care.


CONCLUSIONS
This case highlights the presentation in the form of an acute abdomen in the immediate post-partum period. This is important as acute abdomen following delivery can be attributed to a number of other causes. It also demonstrates that further complications of renal angiomyolipoma rupture can arise, emphasising the importance of post treatment vigilance for signs of infection, further haemorrhage and post embolic events.
Lucky
Marc A
MA
Wirral University Teaching Hospital, 56 Quebec Quay, Liverpool, L3 4EP, UK. marclucky@hotmail.com
Shingler
Simon N
SN
Stephenson
Richard N
RN
D018207:Angiomyolipoma / Q000150:complications*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications*; D049590:Postpartum Period; D012422:Rupture, Spontaneous; D055815:Young Adult