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Reminder of important clinical lesson
Renal angiomyolipomas in tuberous sclerosis—rare but potentially life-threatening lesions
  1. Adnan Azim,
  2. Govindaraj Rajkumar
  1. Department of Urology, Basingstoke and North Hampshire Hospital, Basingstoke, UK
  1. Correspondence to Dr Adnan Azim, adnanazim{at}


We discuss an 18-year-old girl, diagnosed with tuberous sclerosis complex and known to have renal angiomyolipomas (AMLs) but having no regular urological follow-up, who presented with left-sided abdominal pain and haematuria on urine dipstick testing at the out-of-hours General Practitioner (GP) service. She was diagnosed as having urinary tract infection/pyelonephritis and discharged with simple analgesia and antibiotics. Subsequent imaging of her renal tract demonstrated multiple large AMLs with evidence of recent bleeding, which required arterial embolisation.

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