Anomalous Presentation of a Renal Angiomyolipoma

Author Info

Long Jiahuan Xanicia

Corresponding Author

Long Jiahuan Xanicia
Ministry of Health Holdings, Singapore

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.

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