Acute renal hemorrhage as a result of spontaneous rupture of angiomyolipoma

Abstract

Author(s): Arber Neziri, Xhevdet Cuni, Hasan Gashi*, Liridon Selmani and Ilir Miftar

Introduction: Angiomyolipomas are benign tumours that are made up of a mixture of fatty tissue, thick blood vessels and smooth muscle in different proportions. Angiomyolipomas are found as solitary and multiple tumours of different sizes, they can be over 20 cm in diameter Symptomatic angiomyolipomas over 4 cm are potentially dangerous due to spontaneous rupture, nephrectomy is indicated in case of heavy bleeding which cannot be stopped or when the tumour involves the kidney.

Objective: Presentation of a rare case of spontaneous rupture of renal angiomyolipoma and subsequent development of haemorrhagic shock as well as adequate treatment.

Case Presentation: Patient K. K. born in 1974, initially with: 23.01.2017 at 02.30 min. admitted to abdominal surgery due to severe colic abdominal, which started in the periumbilical region and then spread throughout the abdomen. Due to the deterioration of the condition, it is decided to intervene surgically, since the urography suspected a ruptured angiomyolipoma, the patient was urgently admitted to the operating room After the application of nephrectomy, the bleeding stops and the patient's condition begins to stabilize.

Conclusions: Although benign tumours, angiomyolipomas can be quite dangerous tumours, especially angiomyolipomas over 4 cm, which rupture not infrequently.

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