Abstract
INTRODUCTIONAngiomyolipoma is the most common benign neoplasm of the kidney. Successful transplantation of an AML affected kidney has been reported. However it is still often seen as a contraindication to transplantation. PRESENTATION OF CASEA 47-year-old female underwent assessment for a direct specified kidney donation to her husband who had end stage renal failure, due to adult polycystic kidney disease. Routine pre-operative CT angiography demonstrated a large 6cm×4cm AML arising from the upper pole of the right kidney. Right-side hand assisted retro-peritoneoscopic live donor nephrectomy with bench tumour excision was subsequently performed. Recipient implantation was unremarkable with no haemorrhage. DISCUSSIONHistology confirmed a 7cm AML. At 36 months follow up, the recipient's serum creatinine was 158μmol/l and eGFR 40ml/min without the need for dialysis at any stage. CONCLUSIONAML should not be a contraindication for specified live kidney donation, despite a size of 7cm.
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