INTRODUCTION: Herein we present a rare case of pontaneous @entity397 of a @entity8 ( @entity359 ), with symptoms of @entity1457 ( @entity244 ), which was managed by urgent total nephrectomy. PRESENTATION OF CASE: A 53 year old female was transferred to the emergency room with progressive acute @entity158 swelling of the left lateral abdominal area, duration of 5h. An emergent ultrasonic examination, revealed a heterogeneous-solid @entity3928 with maximum diameter of 23cm, with probable origin from the left kidney. Due to worsening of the clinical status ( @entity1457 ), @entity909 and acute drop of haematocrit level to 17.8%, the @entity1 was urgently intubated in the emergency room and transferred to the operating theater. A giant haemorrhagic @entity3928 was found originating from the left kidney, which removed en-block with the left kidney. The @entity1 was transferred to the intensive care unit. Her recovery was uneventful. The histopathologic examination revealed a @entity8 (25*18*8cm) with extensive @entity548 . DISCUSSION: Enlarged renal AMLs can @entity397 . This can be sudden and @entity158 with manifestations of @entity1457 . The management of AMLs has been correlated with symptoms. @entity1 with life-threatening retroperitoneal @entity548 , require urgent exploration as retroperitoneal @entity548 can lead to severe complications, increasing morbidity. CONCLUSION: In case of @entity359 with @entity548 , and symptoms of @entity244 , partial or total nephrectomy is a good treatment option in order to save the @entity1 's life.

Spontaneous rupture of a XXXX - @entity244 : Report of a case.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['giant renal angiomyolipoma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding', 'haemorrhage', 'intratumoral haemorrhage'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['hypovolemic shock'] @entity3928 :: ('MESH:C536030', 'Disease') :: ['mass'] @entity909 :: ('MESH:D014474', 'Disease') :: ['loss of consciousness'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity244 :: ('MESH:D014899', 'Disease') :: ["Wunderlich's syndrome"] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful'] @entity359 :: ('MESH:D018207', 'Disease') :: ['AML', 'giant angiomyolipoma']
@entity8 :: (MESH:D007674,Disease) :: ['giant renal angiomyolipoma']
