Retroperitoneal bleeding caused by spontaneus rupture of renal angiomyolipoma following cesarean section treated with selective embolisation.
OBJECTIVE
To describe management of a spontaneus rupture of renal angiomyolipoma after cesarean section.


DESIGN
Case report.


SETTING
Department of Gynaecology and Obstetrics, Hospital &#352;ternbek; Department of Obstetrics and Gynaecology, Palacky University and University Hospital, Olomouc.


CASE REPORT
29-year-old patient underwent acute cesarean section at 35 weeks of gestation for pPROM, placenta praevia marginalis, suspicion of placenta accreta by ultrasound and MRI and transverse position of the fetus. The next morning was found out a spontaneus rupture of renal angiomyolipoma causing progressive anemisation. We describe the following management.


CONCLUSION
Incidention of tumors complicating gravidity may occur more often due to changes in population characteristics. Methods of interventional radiology are ordinarily used for severe hemorrage postpartum or for prophylactic occlusion of illiac arteries before cesarean section with morbidly adherent placenta. We show here usage of selective embolisation in not so common obstetrical complications.
['Harašta|J|J|', 'Huml|K|K|']
D000328:Adult D018207:Angiomyolipoma D002585:Cesarean Section D005260:Female D006470:Hemorrhage D006801:Humans D010921:Placenta Accreta D010923:Placenta Previa D011247:Pregnancy
bleeding angiomyolipoma cesarean section embolisation placenta praevia puerperium tamponade