Case report and literature review of complex renal angiomyolipoma

Abstract Renal angiomyolipoma (AML) is a rare benign renal tumor with notable clinical implications, including potential compression of adjacent organs and a heightened risk of spontaneous hemorrhage, particularly when the tumor grows large. We present a complex case involving renal AML in a 52-year...

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Main Authors: Junwei Li, Jiwang Deng, Zijian Tang, Chen Wang, Junjin Zhang, Bin Lai, Yongmao Zeng, Lian Peng, Qingjiang Chen, Shuangquan Gao, Liqun Zhong, Yuefu Han
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Urology
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Online Access:https://doi.org/10.1186/s12894-025-01849-w
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author Junwei Li
Jiwang Deng
Zijian Tang
Chen Wang
Junjin Zhang
Bin Lai
Yongmao Zeng
Lian Peng
Qingjiang Chen
Shuangquan Gao
Liqun Zhong
Yuefu Han
author_facet Junwei Li
Jiwang Deng
Zijian Tang
Chen Wang
Junjin Zhang
Bin Lai
Yongmao Zeng
Lian Peng
Qingjiang Chen
Shuangquan Gao
Liqun Zhong
Yuefu Han
author_sort Junwei Li
collection DOAJ
description Abstract Renal angiomyolipoma (AML) is a rare benign renal tumor with notable clinical implications, including potential compression of adjacent organs and a heightened risk of spontaneous hemorrhage, particularly when the tumor grows large. We present a complex case involving renal AML in a 52-year-old male patient who exhibited persistent left flank pain. Radiological imaging revealed a bilateral AML, with the most significant lesion on the left measuring approximately 13.5 × 19.3 × 15.6 cm. This lesion was associated with multiple renal stones, fluid accumulation, and atrophy of the left kidney. Surgical intervention was necessary, leading to open nephrectomy and removal of the left renal mass. Histopathological examination confirmed the diagnosis of renal angiomyolipoma and left renal atrophy. This case report provides critical insights into the multifaceted nature of renal AML, covering its pathogenesis, clinical presentation, diagnosis, and treatment, and thus enhances the understanding and management of this condition in clinical practice.
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issn 1471-2490
language English
publishDate 2025-07-01
publisher BMC
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series BMC Urology
spelling doaj-art-93cb5beb881e40b69b01a7ef7ddde9782025-08-20T04:01:35ZengBMCBMC Urology1471-24902025-07-012511610.1186/s12894-025-01849-wCase report and literature review of complex renal angiomyolipomaJunwei Li0Jiwang Deng1Zijian Tang2Chen Wang3Junjin Zhang4Bin Lai5Yongmao Zeng6Lian Peng7Qingjiang Chen8Shuangquan Gao9Liqun Zhong10Yuefu Han11Guangdong Medical UniversityYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityDepartment of Urology, Yuebei People’s Hospital Affiliated to Shantou University Medical CollegeDepartment of Urology, Yuebei People’s Hospital Affiliated to Shantou University Medical CollegeGuangdong Medical UniversityYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityDepartment of Pathology, Yuebei People’s Hospital Affiliated to Shantou University Medical CollegeDepartment of Urology, Yuebei People’s Hospital Affiliated to Shantou University Medical CollegeYuebei People’s Hospital Joint Postgraduate Training Base, Guangdong Medical UniversityAbstract Renal angiomyolipoma (AML) is a rare benign renal tumor with notable clinical implications, including potential compression of adjacent organs and a heightened risk of spontaneous hemorrhage, particularly when the tumor grows large. We present a complex case involving renal AML in a 52-year-old male patient who exhibited persistent left flank pain. Radiological imaging revealed a bilateral AML, with the most significant lesion on the left measuring approximately 13.5 × 19.3 × 15.6 cm. This lesion was associated with multiple renal stones, fluid accumulation, and atrophy of the left kidney. Surgical intervention was necessary, leading to open nephrectomy and removal of the left renal mass. Histopathological examination confirmed the diagnosis of renal angiomyolipoma and left renal atrophy. This case report provides critical insights into the multifaceted nature of renal AML, covering its pathogenesis, clinical presentation, diagnosis, and treatment, and thus enhances the understanding and management of this condition in clinical practice.https://doi.org/10.1186/s12894-025-01849-wRenal angiomyolipomaImmunohistochemistryDiagnosis
spellingShingle Junwei Li
Jiwang Deng
Zijian Tang
Chen Wang
Junjin Zhang
Bin Lai
Yongmao Zeng
Lian Peng
Qingjiang Chen
Shuangquan Gao
Liqun Zhong
Yuefu Han
Case report and literature review of complex renal angiomyolipoma
BMC Urology
Renal angiomyolipoma
Immunohistochemistry
Diagnosis
title Case report and literature review of complex renal angiomyolipoma
title_full Case report and literature review of complex renal angiomyolipoma
title_fullStr Case report and literature review of complex renal angiomyolipoma
title_full_unstemmed Case report and literature review of complex renal angiomyolipoma
title_short Case report and literature review of complex renal angiomyolipoma
title_sort case report and literature review of complex renal angiomyolipoma
topic Renal angiomyolipoma
Immunohistochemistry
Diagnosis
url https://doi.org/10.1186/s12894-025-01849-w
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