EURORAD ESR

Case 778

Renal angiomyolipoma with spontaneous haemorrhage

Author(s)
CJ Roche VA Duddalwar. WK Lee WC Torreggiani
 
Patient
female, 39 year(s)
 
 
  • Figure 1
    CT abdomen at level of right kidney

    There is a heterogenous mass arising from the lower pole of the right kidney. The mass contains areas of fat attenuation within it. there is a large retroperitoneal haemorrhage surrounding the mass and displacing the...

     
    Area of Interest: unknown; Imaging Technique: CT abdomen at level of right kidney;
     
     
  • Figure 2
    CT image caudal to figure 1

    Acute retroperitoneal haemorrhage around the tumour mass is shown.

     
    Area of Interest: unknown; Imaging Technique: CT image caudal to figure 1;
     
     
  • Figure 3
    Selective right renal angiogram

    There are abnormal 'tumour' vessels arising from the lower pole of the kidney, supplying the tumour. Some small saccular aneurysms are noted.

     
    Area of Interest: unknown; Imaging Technique: Selective right renal angiogram;
     
     
  • Figure 4
    Post-embolisation angiogram

    Following embolisation the 'tumour' vessels are occluded.

     
    Area of Interest: unknown; Imaging Technique: Post-embolisation angiogram;
     
     
  • Figure 5
    Digital abdominal radiograph

    The embolisation coils are shown on a post-embolisation abdominal radiograph.

     
    Area of Interest: unknown; Imaging Technique: Digital abdominal radiograph;
     
     
There is a heterogenous mass arising from the lower pole of the right kidney. The mass contains areas of fat attenuation within it. there is a large retroperitoneal haemorrhage surrounding the mass and displacing the kidney anteriorly.
 
Acute retroperitoneal haemorrhage around the tumour mass is shown.
 
There are abnormal 'tumour' vessels arising from the lower pole of the kidney, supplying the tumour. Some small saccular aneurysms are noted.
 
Following embolisation the 'tumour' vessels are occluded.
 
The embolisation coils are shown on a post-embolisation abdominal radiograph.
 
 
 
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