A Life-threatening Case of Giant Bilateral Renal Angiomyolipoma: A Case Report
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Abstract
Renal angiomyolipoma (AML) is a rare tumor with an incidence of 0.3% - 3%.
We reported a case of a 41-year-old male patient who presented with gross hematuria and hemorrhagic shock, due to a right giant angiomyolipoma he underwent urgent right nephrectomy by subcostal laparotomy, total weight of the mass was 6 Kg, histological examination concluded in a renal angiomyolipoma.
Treatment of renal AML depends on the clinical presentation, tumor size, and single or multiple lesions: single small (< 4 cm) asymptomatic lesions require only clinical and radiological follow-up, however giant symptomatic (hematuria), life-threatening masses require urgent multidisciplinary treatment and especially surgery.
Giant renal bilateral AML is very rare, conservative treatment in the absence of hemorrhage should always be first proposed to preserve renal function as possible.
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Ghaed MA, Daniali M, Motaghi P, Sohi HJ. Huge renal epithelioid angiomyolipoma - A case report of a giant, benign renal mass. Int J Surg Case Rep. 2020; 66:374-378. doi: 10.1016/j.ijscr.2019.12.032. Epub 2019 Dec 28. PMID: 31945544; PMCID: PMC6965190.
Flum AS, Hamoui N, Said MA, Yang XJ, Casalino DD, McGuire BB, Perry KT, Nadler RB. Update on the Diagnosis and Management of Renal Angiomyolipoma. J Urol. 2016 Apr; 195(4 Pt 1):834-46. doi: 10.1016/j.juro.2015.07.126. Epub 2015 Nov 21. PMID: 26612197.
Fragkoulis C, Stasinopoulos K, Theocharis G, Stathouros G, Papadopoulos G, Kostopoulou A, Bethany-Michaelides M, Ntoumas K. A rare case of giant renal angiomyolipoma in a woman with tuberous sclerosis. Urol Case Rep. 2018 Jun 18; 20:41-42. doi: 10.1016/j.eucr.2018.06.006. PMID: 29942788; PMCID: PMC6011037.
Hatano T, Egawa S. Renal angiomyolipoma with tuberous sclerosis complex: How it differs from sporadic angiomyolipoma in both management and care. Asian J Surg. 2020 Oct;43(10):967-972. doi: 10.1016/j.asjsur.2019.12.008. Epub 2020 Jan 17. PMID: 31959574.
Ryan MJ, Francis IR, Cohan RH, Davenport MS, Weizer A, Hafez K, Kunju LP. Imaging appearance of renal epithelioid angiomyolipomas. J Comput Assist Tomogr. 2013 Nov-Dec;37(6):957-61. doi: 10.1097/RCT.0b013e3182a77674. PMID: 24270119.
Nelson CP, Sanda MG. Contemporary diagnosis and management of renal angiomyolipoma. J Urol. 2002 Oct;168(4 Pt 1):1315-25. doi: 10.1016/S0022-5347(05)64440-0. PMID: 12352384.