Renal Angiomyolipoma Rupture in a 35- Week Pregnant Woman: A Case Report

Abstract

Introduction:
Renal angiomyolipoma (rAML) is a rare, benign kidney tumor occurring in approximately 0.3% of the general population. They are typically asymptomatic; however, rAML carries an increased risk of complications such as rupture during pregnancy, especially in tumours larger than 4 cm. Standardized management guidelines for rAML in pregnancy currently do not
exist. Main symptoms and clinical findings: This is a case of a 35-week pregnant woman who presented with vomiting and metabolic acidosis, she underwent an emergency cesarean-section for fetal distress after which she remained hemodynamically unstable and was subsequently diagnosed with a ruptured rAML through imaging.

Diagnosis, therapeutic interventions and outcomes: She was diagnosed with a ruptured rAML which was managed through embolization. She recovered after the procedure and was discharged in a stable condition.

Conclusion: This case highlights the diagnostic and management challenges of rAML in pregnancy and highlights the need for awareness and standardized treatment guidelines.