Giant renal angiomyolipoma

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Patient presented to casualty with polytrauma after a road side accident.

Patient Data

Age: 48 years
Gender: Female
Modality: Ultrasound

US, color Doppler and pulsed wave Doppler show echogenic, vascular left renal mass. 

Modality: CT

Subsequent CECT abdomen confirmed origin of the lesion from left kidney with large amount of fat within the lesion seen as negative Hounsfield values.

Coronal maximum intensity projection and volume rendering  show highly vascular nature of the lesion and blood supply from renal arteries. Helical CT scan of the head revealed an extradural hematoma however no features suggestive of tuberous sclerosis (e.g. cortical or subependymal tubers were not found). 

Modality: MRI

MRI showing the complex left renal mass. 

Case Discussion

A diagnosis of isolated giant renal angiomyolipoma was made.

Patient was considered for partial nephrectomy.

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Case Information

rID: 34674
Case created: 4th Mar 2015
Last edited: 30th Dec 2016
System: Urogenital
Inclusion in quiz mode: Included

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