Renal angiomyolipoma rupture as a cause of lumbar pain: report of one case
Cifuentes, M.; Calleja, Félix.; Hola, Jé.; Daviú, A.; Jara, D.; Vallejos, H.
Revista Medica de Chile 136(8): 1031-1033
2008
ISSN/ISBN: 0034-9887 PMID: 18949188 Document Number: 619598
Renal angiomyolipoma is a benign tumor formed by smooth muscle, adipose tissue and blood vessels. It is commonly found incidentally and its clinical manifestations are pain and abdominal mass or spontaneous tumor rupture with retroperitoneal bleeding. The clinical presentation of a hemorrhagic shock secondary to a retroperitoneal hematoma is uncommon. We report a 40 year-old male who presented to the emergency room with lumbar pain and deterioration of hemodynamic parameters. The CT scan showed a left renal injury associated to an expansive retroperitoneal process. The abdominal exploration, vascular control of the renal pedicle and nephrectomy allowed a successful outcome.