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Bilateral Renal Angiomyolipoma with Hidden Tuberous Sclerosis Complex: A Case Report
M Ahsan1, S Choudhury, R M Razi
1Dr Mainul Ahsan, Associate Professor, Department of Radiology & Imaging, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|July 6, 2021
Summary
This case report highlights a rare presentation of bilateral renal angiomyolipomas in a young woman. The findings suggest a potential association with Tuberous Sclerosis Complex (TSC), emphasizing the need for thorough evaluation.
Area of Science:
- Nephrology
- Radiology
- Oncology
Background:
- Angiomyolipomas (AML) are benign renal tumors composed of adipose tissue, smooth muscle, and blood vessels.
- AML can occur sporadically or be associated with Tuberous Sclerosis Complex (TSC), a genetic disorder.
- Large AMLs can lead to significant clinical complications.
Observation:
- A 26-year-old female presented with bilateral loin pain and hematuria.
- Imaging revealed bilateral renal angiomyolipomas, with the left kidney being more affected.
- Head CT scan identified subependymal calcifications, indicative of TSC.
Findings:
- The case demonstrates bilateral renal angiomyolipomas.
- Subependymal calcifications on head CT suggest an underlying diagnosis of Tuberous Sclerosis Complex.
- The patient's symptoms of loin pain and hematuria are consistent with complications from renal AMLs.
Implications:
- This case underscores the importance of considering TSC in patients with bilateral renal angiomyolipomas.
- Early diagnosis and management of TSC-associated AMLs can prevent serious complications.
- Radiological findings are crucial for diagnosing both AML and associated conditions like TSC.
