Retroperitoneal hemorrhage and multiple bilateral renal angiomyolipomas
Diagnosis certain
Presentation
Right flank pain for 2 days, limited history due to intellectual impairment
Patient Data
Age: 25 years
Gender: Male
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Multiple bilateral renal angiomyolipomas. Large right retroperitoneal hemorrhage. Appearance suggestive of a pseudoaneurysm at the upper pole of the right kidney.
Case Discussion
This young man presented with a limited history due to intellectual impairment and suspected tuberous sclerosis. Haemodynamically-stable but in view of the suspected large pseudoaneurysm of the right upper renal pole, the decision was made to proceed to angioembolisation. He underwent successful embolization of the pseudoaneurysm with coils and a second large angiomyolipoma in the right lower pole was also selectively embolized with a 1:1 ethanol-Lipiodol mix and a coil.
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