PT  - JOURNAL ARTICLE
AU  - Abby Jo Sapadin
AU  - Daniel Girzadas
AU  - Darshika Chhabra
AU  - Tasneem Ahmed
TI  - Ruptured angiomyolipoma, a novel entity for emergency physicians in the differential diagnosis of haemorrhagic shock in a female patient of reproductive age
AID  - 10.1136/bcr-2021-248626
DP  - 2022 Aug 01
TA  - BMJ Case Reports
PG  - e248626
VI  - 15
IP  - 8
4099  - http://casereports.bmj.com/content/15/8/e248626.short
4100  - http://casereports.bmj.com/content/15/8/e248626.full
SO  - BMJ Case Reports2022 Aug 01; 15
AB  - A woman in her 30s presented to the emergency department with acute onset, progressively worsening left-sided abdominal pain after exercise. She was found to be hypotensive and diaphoretic, with free intraperitoneal fluid detected on bedside point-of-care ultrasound. Resuscitation was initiated, a presumptive diagnosis of ruptured ectopic pregnancy was made, and obstetrics and gynaecology were consulted. Point-of-care urine pregnancy testing, however, was negative, and subsequent CT angiography of the patient’s abdomen revealed an angiomyolipoma (AML) with active haemorrhage. Ultimately, embolisation was performed in the interventional radiology suite, with improvement of patient haemodynamics. Ruptured AML is a rare, life-threatening condition that needs to be included in the differential diagnosis of haemorrhagic shock in female patients of reproductive age presenting to the emergency department.