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Renal angiomyolipomas (RAMLs) can spontaneously rupture and induce hemorrhage that is usually confined to the perirenal space (PS) but may spread beyond the PS into other retroperitoneal fascia and fascial spaces, including up to the subdiaphramatic and down to pelvic extra-peritoneal regions.

CT evaluation of spontaneously ruptured renal angiomyolipomas with massive hemorrhage spreading into multi-retroperitoneal fascia and fascial spaces