Korean J Nephrol.  2007 May;26(3):378-381.

A Case of the Pedunculated Angiomyolipoma Attached to Renal Cortex

Affiliations
  • 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. ashneph@wonkwang.ac.kr
  • 2Department of Urology, Wonkwang University School of Medicine, Iksan, Korea.
  • 3Department of Pathology, Wonkwang University School of Medicine, Iksan, Korea.
  • 4Department of Obstertrics and Gynecology, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

A renal angiomyolipoma is uncommon congenital mixed tumor like formations consisting of blood vessel, smooth muscle cells and adipose tissue. We report a case of retroperitoneal hemorrhage from spontaneous rupture of renal angiomyolipoma in a 37 year-old woman that appeared unilateral and pedunculated attached to renal cortex. The patient presented with a clinical feature of flank pain and shock because of massive hemorrhage. Because the patient suffered from flank pain regardless of selective renal embolization, laparoscopic surgery was necessary to remove angiomyolipoma from renal cortex.

Keyword

Angiomyolipoma; Kidney cortex; Spontaneous rupture

MeSH Terms

Adipose Tissue
Adult
Angiomyolipoma*
Blood Vessels
Female
Flank Pain
Hemorrhage
Humans
Kidney Cortex
Laparoscopy
Myocytes, Smooth Muscle
Rupture, Spontaneous
Shock
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