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Angiomyolipoma (large, hemorrhagic)

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Acute abdominal pain and collapse

Patient Data

Age: 45 years
Gender: Male

The patient has multiple small fatty tumors (angiomyolipoma) in both kidneys with a huge lesion on the right measuring up to 25 cm in diameter. This lesion has spontaneously bled with contrast extravasation on the arterial phase from grossly abnormal arteries that are beaded and contain small aneurysms.  No past history of tuberous sclerosis.

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