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Renal angiomyolipoma (AML) is the most common mesenchymal tumor of the kidney composed of fat, smooth muscle and blood vessels. Although AML is usually asymptomatic, it may sometimes be symptomatic because of retroperitoneal haematoma. The treatment modalities are the stabilization of the patient pursued by either selective transarterial embolization as a first line treatment or the second option of surgery. Dilated and tortuous renal artery anomalies can be observed in AML and may complicate selective embolization. In our study we present a case with large AML developing spontaneous rupture. Selective angioembolization for pseudoaneurysms was unsuccessful due to aberrant artery and torsioned vessel structures, finally the patient underwent surgical treatment.

Angiomyolipoma Accompanied by Renal Aberrant Artery