4 Patients with renal angiomyolipomas are presented, One of them had t
uberous sclerosis with synchronous bilateral tumors, All the patients
were symptomatic, 2 of them with retroperitoneal hemorrhage, In all pa
tients selective arterial embolization was performed. Permanent contro
l of the symptoms was successful in 2 patients, In I patient temporary
resolution of the symptoms was observed, and a second embolization wa
s required, Retroperitoneal bleeding in 1 patient continued and nephre
ctomy was undertaken.