When renal lipoma ruptures and bleeds, the patient’s vital signs, hematoma size and hemoglobin changes should be closely observed, and surgical resection, interventional embolization treatment, conservative treatment and so on can be used. When the patient has symptoms of ruptured and bleeding renal lipoma, it is recommended to seek medical treatment in time, do some corresponding examinations, and closely monitor the patient’s vital signs, bleeding and changes in hemoglobin values. If the patient’s physical condition permits, the situation is urgent and meets the indications for surgery, surgery can be used to remove the renal lipoma and relieve the symptoms. If the renal lipoma is large and the bleeding is severe enough to prevent timely surgery, interventional embolization can also be used. If the bleeding is mild and there is no indication for emergency surgery or embolization, conservative treatment can be considered for continued observation. After surgery, patients should take care of the affected area, pay attention to a light diet, moderate exercise, regular work and rest, and maintain a healthy lifestyle. When patients have symptoms of ruptured and bleeding renal lipoma, it is recommended to go to the hospital in time for diagnosis by a professional doctor and make appropriate treatment.