Related Experiment Video
Updated: Oct 3, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Conservative management and vaginal delivery following ruptured renal angiomyolipoma
1Department of Obstetrics and Gynaecology, School of Medicine, Kanazawa University, Kanazawa, Japan. m_tanaka@mwc.biglobe.ne.jp
Background:
Rupture of a renal angiomyolipoma during pregnancy is rare and occasionally fatal. Usually emergency nephrectomy is required, with cesarean simultaneously in patients at 28 weeks' gestation or later. We have been unable to find reports of cases in which conservative treatment for a ruptured angiomyolipoma was followed by successful vaginal delivery.
Case:
A woman experienced retroperitoneal hemorrhage resulting from angiomyolipoma rupture at 27 weeks. She was managed conservatively and subsequently delivered vaginally after induction at 38 weeks. The tumor was treated by embolization postpartum.
Conclusion:
Successful vaginal delivery in a pregnant woman with a ruptured angiomyolipoma is possible under strict monitoring of the maternal and fetal status.
Related Concept Videos
Aneurysm III: Interprofessional Care
Aneurysm IV: Nursing Management
Urinary Tract Calculi VI: Surgical Management
Kidney Transplant II: Surgical Procedure
Urinary Tract Calculi V: Nursing Management