Renal angiomyolipoma rupture as a cause of lumbar pain: report of one case

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...

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Bibliographic Details
Published in:Revista medíca de Chile 2008-08, Vol.136 (8), p.1031-1033
Main Authors: Cifuentes, Melissa, Calleja, Félix, Hola, José, Daviú, Antonio, Jara, Danilo, Vallejos, Humberto
Format: Article
Language:Spanish
Subjects:
Adult
Angiomyolipoma - complications
Angiomyolipoma - diagnosis
Hematoma - etiology
Humans
Kidney Neoplasms - complications
Kidney Neoplasms - diagnosis
Low Back Pain - etiology
Male
Retroperitoneal Space
Rupture, Spontaneous
Tomography, X-Ray Computed
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Summary: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.
ISSN:0034-9887