case_images: PMC11073645_01
case_images: Abdominal CT scan: peri-renal MTL, with areas of fat density 103 x 88 x 75 mm in size consistent with angiomyolipoma. LKN displaced by mass effect. PNP as a result of damage control surgery with retroperitoneal sponge packing in left zone I-II. PNP: Pneumoperitoneum, LKN: Left kidney, MTL: Mass-type lesion, PCK: Packing
case_images: IJCIIS-14-12-g001.jpg
case_images: PMC11073645_01_IJCIIS-14-12-g001.jpg
case_images: ijciis_45_23-f001
case_images: These characteristics suggest a renal angiomyolipoma [Figure 1].
case_images: Arterial phase abdominal CT scan: AVS directed toward identified MTL, with septal enhancement, and CME observed in the late phase. PNP, and scant perihepatic and perisplenic free fluid. MTL: Mass-type lesion, AVS: arterial vascular structure, CME: Contrast medium extravasation, PNP: Pneumoperitoneum
case_images: IJCIIS-14-12-g002.jpg
case_images: PMC11073645_01_IJCIIS-14-12-g002.jpg
case_images: ijciis_45_23-f002
case_images: In addition, left retroperitoneal hemorrhage secondary to active bleeding of the lesion previously described was evident, with findings being consistent with Wunderlich syndrome [Figure 2].