Treatment of such complication includes conservative treatment, total or partial nephrectomy, renal artery embolization... Today, renal artery embolization is recommended as the first choice for AML bleeding and is increasingly being used for the prophylaxis of AML at risk of bleeding. We present a 40 - year - old female patient was admitted to the emergency room with sudden right flank pain, found to have a ruptured right AML causing a perirenal hematoma and treated with selective renal artery embolization.