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Arch Gynecol Obstet. 2009 Oct;280(4):643-5. doi: 10.1007/s00404-009-0964-9. Epub 2009 Feb 15.

A case report of spontaneous rupture of a renal angiomyolipoma in a post-partum 21-year-old patient.

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  • 1Wirral University Teaching Hospital, 56 Quebec Quay, Liverpool, L3 4EP, UK.



Renal angiomyolipomas (AML) are benign tumours containing vascular, smooth muscle and fatty elements. The majority of renal AML run an asymptomatic, benign course. The main associated complication is that of retro-peritoneal or intra-tumoural haemorrhage. Treatment options include conservative management versus interventional procedures such as total or partial nephrectomy, cryotherapy or embolization.


We describe a case of symptomatic, spontaneous rupture of AML in the immediate post-partum period of a patient treated under our care.


This case highlights the presentation in the form of an acute abdomen in the immediate post-partum period. This is important as acute abdomen following delivery can be attributed to a number of other causes. It also demonstrates that further complications of renal angiomyolipoma rupture can arise, emphasising the importance of post treatment vigilance for signs of infection, further haemorrhage and post embolic events.

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