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Duodenal angiomyolipoma: a case report.
Michelle De Padua1, Noopur Gupta, S L Broor
1Department of Pathology, Indraprastha Apollo Hospitals, New Delhi. michelledepadua@hotmail.com
Indian Journal of Pathology & Microbiology
|September 22, 2007
Summary
This report details a rare duodenal angiomyolipoma, a benign tumor. Surgical removal is typically curative for this uncommon gastrointestinal finding.
Area of Science:
- Gastroenterology
- Pathology
- Surgical Oncology
Background:
- Angiomyolipomas are rare benign neoplasms, typically found in the kidney.
- Extrarenal angiomyolipomas are exceptionally uncommon, with duodenal involvement being exceedingly rare.
Observation:
- A 66-year-old male presented with a two-year history of gastrointestinal bleeding.
- Endoscopic examination identified a duodenal polyp.
Findings:
- Histopathological analysis confirmed the duodenal polyp as an angiomyolipoma.
- Immunohistochemistry revealed smooth muscle actin positivity and mild focal HMB-45 positivity.
- The patient had no history of tuberous sclerosis.
Implications:
- This case highlights the importance of considering rare diagnoses in cases of unexplained GI bleeding.
- Surgical excision is the standard treatment, offering a generally favorable prognosis.
- Further research into the pathogenesis and management of extrarenal angiomyolipomas may be warranted.
