肾血管平滑肌脂肪瘤临床上较少见 ,破裂出血者更为少见 ,报告 1例如下。1　病例报告患者 ,女 ,45岁。因腹痛半个月 ,加重 8ｈ于 1996年 11月12日入院。患者于半月前无明显诱因出现腹痛 ,呈持续性纯痛 ,曾行对症治疗无好转 ,于 8ｈ前出现上腹部剧烈疼痛 ,伴心慌、尿少 ,腹痛呈持 Renal angiomyolipoma is clinically rare, and those with ruptured bleeding are more uncommon. One case is reported below. 1 case report patients, female, 45 years old. Due to abdominal pain for half a month, increased 8h on November 12, 1996 admission. Patients had no obvious incentive to have abdominal pain half a month ago, was persistent pure pain, had no improvement in symptomatic treatment, severe pain in the upper abdomen occurred 8h, accompanied by palpitation, oliguria, abdominal pain was held