肾血管平滑肌脂肪瘤破裂临床上少见，易误诊为急腹症，如肝、脾破裂等。我院于1994年5月～1995年11月共收治1例，现报告如下。1病例报告例1女，76岁。因左上腹部剧烈疼痛伴肉眼血尿9h于1994年5月10日入院。发病前无明显诱因。体检：左上腹隆起，腹肌紧张，有压痛及反跳痛，左腰 Renal angiomyolipoma rupture clinically rare, easily misdiagnosed as acute abdomen, such as liver and spleen rupture. Our hospital in May 1994 ~ November 1995 were treated in 1 case, are as follows. 1 case report 1 female, 76 years old. Due to severe left upper quadrant pain with gross hematuria 9h on May 10, 1994 admission. Before the onset of no obvious incentive. Physical examination: the left upper quadrant bulge, abdominal muscle tension, tenderness and rebound tenderness, left waist