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Ruptured renal angiomyolipoma presenting as renal colic

¹Department of Surgery, University of Utah School of Medicine, Salt Lake City, USA.

The American Journal of Emergency Medicine

|November 25, 1998

Summary

A ruptured renal angiomyolipoma caused a patient's flank pain and hematuria. Prompt diagnosis requires considering atypical features beyond typical renal colic.

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Area of Science:

Nephrology
Urology
Diagnostic Imaging

Background:

Acute flank pain and hematuria are common presenting symptoms in urology.
Initial assessment often focuses on conditions like renal colic or urinary tract infections.

Observation:

A patient presented with acute flank pain and hematuria, initially treated for presumed renal colic.
The patient subsequently developed atypical clinical features, prompting further investigation.

Findings:

The definitive diagnosis was a ruptured renal angiomyolipoma, a rare renal tumor.
Delayed diagnosis occurred due to the atypical presentation and initial misdirection of therapy.

Implications:

Highlights the importance of a comprehensive differential diagnosis for flank pain and hematuria.
Emphasizes considering rare conditions like ruptured renal angiomyolipoma, especially with atypical patient presentations.
Suggests that atypical features warrant a broader diagnostic approach to avoid treatment delays.

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