گزارش یک مورد شکم حاد ناشی از خون ریزی خلف صفاقی، ثانویه به پارگی آنژیومیولیپوم کلیه

A rare case of extensive spontaneous retropritoneal hemorrhage from a reptured angiomolipoma is described. A 34- year- old woman was admitted to our department with a complaint of acute abdominal pain. Obvious right side abdominal distention, abdominal tenderness and guarding and hypovolumic shock were noted on physical exam. Abdominal ultrasonography and CT scan showed massive retroperitoneal hemorrhage with a mass in lateral of Rt. Kindney. After appropriate resuscitation, laparatomy and Rt. Nephrectomy was done. Pathological study revealed angimyolipoma. Because of hemorrhagic shock at admittance and during operation Rt. Nephrectomy was preferred.