Renal angiomyolipoma complicated by a retroperitoneal hematoma.

Renal angiomyolipoma (AML) is a benign tumor, they are generally asymptomatic or can manifested by abdominal pain, palpable mass or hematuria, We report an uncommon 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 nephretomy by transperitoneal approach was performed with a good followup. The histological examination confirmed the diagnosis for renal AML. About this case, the authors discuses the diagnosis and the managment for AML with retroperitoneal hemorrhage. (C) 2002 Editions scientifiques et medicales Elsevier SAS.