DOI: https://doi.org/10.36347/sjmcr.2024.v12i08.013

Pages: 1398-1401

Background: The most common solid benign renal tumors are angiomyolipomas (AMLs). They are highly vascularized and contain smooth muscle and adipose tissues. Perivascular epithelioid differentiation is characteristic for AML. Radiological imaging plays an important role for diagnosis of these tumors which usually are found incidentally, but sometimes symptoms like flank pain, gross hematuria, or severe retroperitoneal hemorrhage may also exist. Case Details: In this study, we will present a 20-year-old male patient who came to the emergency department with right sided abdominal pain for one day duration of sudden onset, associated with generalized weakness, vomiting and dysuria. The patient was diagnosed to have a huge right renal angiomyolipoma (sized 18 x 13.5 x 32 cm), compressing the liver, crossing the midline, and reaching below right iliac crest. The management was by right nephrectomy in our Prince Hussien Urology Center. The follow-up period was for 6 weeks in our urology clinics. Conclusion: In our case report the angiomyolipoma was larger than 30 cm. So, awaring about the presentation of huge angiomyolipoma and its complications is mandatory due to the rarity of these cases (> 20 cm). Therefore, in the future we can deal with them in a good manner.