Rare Case of Giant Bilateral Renal Angiomyolipoma

Renal hamartoma, commonly known as renal angiomyolipoma (AML), is an uncommon solid tumor that does not exhibit malignant traits. Renal AML is inherited via an autosomal dominant pattern. We present a case of 25 years old female who had bilateral renal giant AML’s. Bleeding is a major risk if they are big enough and this requires urgent embolization if needed. Conservative treatment is not recommended in such cases and mostly nephrectomy (partial or total) is treatment of choice considering high bleeding risk in such giant AML’s. Giant AML’s with size more than 20 cm are rarely reported till date in Pakistan. Key-words: Angiomyolipoma, Renal AML, Radiology, Tuberous Sclerosis