A Young Woman with Acute Abdominal Pain Following Minor Trauma
نویسندگان
1 Radiology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
2 Faculty of Medicine, Vascular and Interventional Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran
3 Emergency Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
4 Radiology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
5 Emergency Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
doi
10.5812/ircmj.34482چکیده
Introduction: Renal angiomyolipoma (RAML), is a rare, benign tumor arising from renal mesenchymal cells. Frequently, it is asymptomatic and found incidentally. Spontaneous rupture with consequent retroperitoneal hemorrhage is an uncommon but catastrophic complication of RAML.Case Presentation: Herein, we report a case of a ruptured RAML with a massive retroperitoneal hemorrhage, seen at the emergency department following a minor trauma. A computed tomography (CT) scan showed a left RAML with retroperitoneal hemorrhage. An angiography was performed and then a transarterial embolization. Cessation of bleeding and clinical stabilization occurred without deterioration of renal function.Conclusions: In hemodynamically stable patients with a ruptured RAML, early detection by CT followed by selective arterial embolization may be lifesaving
