with tuberous sclerosis

A 29-year-old woman, with a past history of tuberous sclerosis diagnosed in her childhood, pre-sented to our emergency department with the acute symptoms of left flank pain. She had no fever and she was fully conscious with stable haemodynamics. Physical examination revealed facial red bumps, and a knocking pain over the left flank. Laboratory investigation showed mild anaemia but normal liver and renal functions. Computed tomography showed a huge ruptured angiomyolipoma of the left lower kidney. Angiography also revealed a hypervascular tumour at the same location (Figure 1). She was treated with transarterial embolization, which was super-selective to the inferior branch of the left renal artery. Post-embolization angiography showe