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AML with haemorrhage

Case contributed by: Dr Frank Gaillard

Presentation:

Sudden spontaneous onset of left sided flank and abdominal pain.

Patient Data:

Age: Adult

From the case: AML with haemorrhage

Modality: CT

C+ portal venous phase

Left fat density mass arising from the cortex of the left kidney with surrounding haemorrhage.

Case Discussion:

This case demonstrates a left sided fat density mass arising from the cortex of the left kidney with surrounding haemorrhage. The features and presentation are characteristic of a renal angiomyolipoma (AML) which, especially when large, present with spontaneous retroperitoneal haemorrhage. This condition is also sometimes termed as Wunderlich's syndrome.