Anomalous Presentation of a Renal Angiomyolipoma

A B S T R A C T

Angiomyolipoma (AML) of the kidney is a benign hamartomatous neoplasm which is usually asymptomatic and picked up incidentally on radiological imaging. AMLs that present symptomatically are typically those of large sizes exceeding 4cm with complications of rupture and retroperitoneal bleed. The classical triad in symptomatic cases includes flank pain, flank mass and gross haematuria. In cases of severe hemorrhage, patients may even turn hypotensive. AMLs rarely present as fever or urinary tract infection. This report presents a case of a middle-aged lady who presented with fever and lower urinary tract symptoms, and urinary studies performed were suggestive of a urinary tract infection. Radiological investigations revealed a right sided renal AML. This report discusses how renal AMLs can present atypically and includes a review of literature.

Keywords

Angiomyolipoma, atypical, angioembolisation



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Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Thu 16, Dec 2021
Accepted: Thu 20, Jan 2022
Published: Mon 14, Feb 2022
Copyright
© 2023 Long Jiahuan Xanicia. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.CRSS.2021.02.06

Author Info

Long Jiahuan Xanicia

Corresponding Author
Long Jiahuan Xanicia
Ministry of Health Holdings, Singapore

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References

1.     Koo KC, Kim WT, Ham WS, Lee JS, Ju HJ et al. (2010) Trends of presentation and clinical outcome of treated renal angiomyolipoma. Yonsei Med J 51: 728-734. [Crossref]

2.     Vos N, Oyen R (2018) Renal Angiomyolipoma: The Good, the Bad, and the Ugly. J Belg Soc Radiol 102: 41. [Crossref]

3.     Swapnil N, Pradeep DK, Kavitha R, Uma G (2009) Ruptured renal angiomyolipoma with super added emphysematous pyelonephritis and cystitis. Euro Rad .

4.     Monge Mirallas JM, Asensio Lahoz A, Martínez Bretones F, Acinas García O (1998) Acute pyelonephritis as presentation form of renal angiomyolipoma with large granulomatous component. Actas Urol Esp 22: 785-788. [Crossref]

5.     Bhide M, Bolshoun P, Wilson S, Iczkowski KA (2012) Renal Angiomyolipoma Presenting as Fever of Unknown Origin. Open J Urol 2: 144-146.

6.   Faddegon S, So A (2011) Treatment of angiomyolipoma at a tertiary care centre: the decision between surgery and angioembolization. Can Urol Assoc J 5: E138-E141. [Crossref]