肾血管平滑肌脂肪瘤并不多见,巨大血管平滑肌脂肪瘤破裂临床更为少见。近日遇到一例行无水乙醇肾动脉栓塞,报道如下。患者女性40岁,右侧腰部突发性剧痛24小时入院。查体:右腹部压痛明显,沿右侧输尿管走行区深压痛。右腹部可触及包块。B 超显示右侧肾脏增大,回声不均,可见强回声。CT 诊断右侧血管平滑肌脂肪瘤并发出血破裂。右肾切除前行无水乙醇肾动脉栓塞。采用Seldinger 技术,经右侧股动脉穿刺置猪尾管于 T12～L1 Renal vascular smooth muscle lipoma is uncommon, and huge vascular smooth muscle lipoma rupture clinical more rare. Recently encountered a routine anhydrous ethanol renal artery embolism, reported as follows. Female 40-year-old patient, the right side of the sudden onset of severe abdominal pain hospitalized 24 hours. Examination: Obvious tenderness on the right abdomen, deep urethra along the right walking area pain. Right abdomen palpable mass. B ultrasound showed the right kidney increased echo uneven, visible strong echo. CT diagnosis of right angiomyolipoma and hemorrhagic rupture. Right nephrectomy followed by absolute ethanol renal artery embolization. Using Seldinger technique, the right femoral artery puncture pig tail in T12 ~ L1