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Giant renal angiomyolipoma
Guru P Painuly1, Sanjay Goyal, Sanjana Nautiyal
1C.M.I. Hospital Dehradun, Surgery, 54 Haridwar Road, Dehradun, 248001, India.
BMJ Case Reports
|December 16, 2011
Summary
A large abdominal mass was diagnosed as a renal angiomyolipoma in a 65-year-old woman. Surgical excision was successful, with the patient making an uneventful recovery.
Area of Science:
- Surgical Oncology
- Urology
- Radiology
Background:
- A 65-year-old woman presented with a large, slow-growing abdominal mass.
- Symptoms included dysuria, weakness, and exertional dyspnea, with examination revealing gross anemia and a substantial retroperitoneal mass.
Purpose of the Study:
- To report a case of a large retroperitoneal renal angiomyolipoma.
- To describe the diagnostic and surgical management of this rare tumor.
Main Methods:
- Diagnostic imaging, including ultrasound and computed tomography (CT) scan, was utilized.
- Surgical excision of the retroperitoneal tumor was performed.
Main Results:
- Imaging findings were characteristic of a renal angiomyolipoma with fatty elements.
- The patient underwent successful tumor excision and received perioperative blood transfusions and thromboprophylaxis.
- Postoperative recovery was uneventful.
Conclusions:
- Renal angiomyolipoma can present as a large retroperitoneal mass.
- Surgical management is effective for symptomatic or large renal angiomyolipomas.
- Multimodality imaging is crucial for diagnosis.
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