Abstract
Angiomyolipoma presenting with severe anaemia is a rare entity. Urgent operative intervention is warranted in such patients especially if the tumour is “Giant” i.e. greater than 10 cm and involves the whole kidney. We chronicle the case of a 35 year old lady who presented with a rapidly enlarging renal lump in the left loin associated with severe anaemia. MRI was highly suggestive of angiomyolipoma. She underwent nephrectomy in view of continuous intratumoral haemorrhage. The tumour measured 18 × 13 × 8 cm and weighed approximately 1.6 kilograms after removing blood and blood clots. The histopathology was suggestive of angiomyolipoma. Angioembolization may be considered for tumours involving a portion of the kidney, as a part of the nephron sparing approach.
Highlights
An angiomyolipoma measuring more than 10 cm in size is considered as “Giant” and is unusual
We chronicle the case of a 35-year-old lady who presented with a rapidly enlarging renal lump in the left loin associated with severe anaemia
We report one such case which appears to be one of the largest reported so far as per a literature search, weighing approximately 1.6 kilograms and measuring 18 × 13 × 8 cm, and presented as a painful abdominal lump with severe anemia
Summary
An angiomyolipoma measuring more than 10 cm in size is considered as “Giant” and is unusual. We report one such case which appears to be one of the largest reported so far as per a literature search, weighing approximately 1.6 kilograms and measuring 18 × 13 × 8 cm, and presented as a painful abdominal lump with severe anemia
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