Rabii R, Fekak H, Moufid K, Joual A, Benjelloun S, Khaleq K, Idali B, Harti A, Barrou L
Service d'urologie, CHU Ibn Rochd, Casabanca, Maroc.
Ann Urol (Paris). 2002 Jul;36(4):250-3. doi: 10.1016/s0003-4401(02)00115-8.
Renal angiomyolipoma (AML) is a benign tumor, they are generally asymptomatic or can manifested by abdominal pain, palpable mass or hematuria. We report an uncommoun case of 65 years old women who consulted for retroperitoneal hemorrhage by spontaneous rupture of renal AML with palpable mass. The ultrasound and CT abdominopelvic scan were performed in the preoperative diagnosis and showed a typical right renal AML with retroperitoneal hematoma. The right nephrectomy by transperitoneal approach was performed with a good follow-up. The histological examination confirmed the diagnosis for renal AML. About this case, the authors discuses the diagnosis and the management for AML with retroperitoneal hemorrhage.
肾血管平滑肌脂肪瘤(AML)是一种良性肿瘤,通常无症状,或可表现为腹痛、可触及肿块或血尿。我们报告一例罕见病例,一名65岁女性因肾AML自发破裂导致腹膜后出血并伴有可触及肿块前来就诊。术前诊断行腹部盆腔超声和CT扫描,显示典型的右肾AML伴腹膜后血肿。采用经腹途径行右肾切除术,术后随访良好。组织学检查确诊为肾AML。关于该病例,作者讨论了伴有腹膜后出血的AML的诊断和治疗。