Tuberous sclerosis. Report of a Jehovah witness patient

We report a 26 year old male with a tuberous sclerosis with multiple and bi lateral kidney cysts and angiomyolipomas. The patient presented to the emer gency room with a sever abdominal pain and anemia, secondary to a bleeding angiomyolipoma. The patient rejected blood transfusions due to his religiou s beliefs. A selective angiography was performed confirming diagnosis and t he lesion artery was selectively embolized, stopping the bleeding immediate ly. The patient had a satisfactory evolution thereafter. This is a rare les ion and the fact that the patient was a Jehovah witness that rejected blood transfusions, required an innovative medical approach.