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Huge extrarenal retroperitoneal angiomyolipoma complicating pregnancy
Amal George1, Salahudheen Thottiyen2, UV Akshay Viswanath1, VP Salim2, Jinto Augustine Thomas1, O Rasheeda Beegaum3, Shahid Shameem1, Shehla Basheer4
1 Department of General Surgery, Aster Malabar Institute of Medical Sciences, Kozhikode, Kerala, India
2 Department of Oncosurgery, Aster Malabar Institute of Medical Sciences, Kozhikode, Kerala, India
3 Department of Obstetrics and Gynecology, Aster Malabar Institute of Medical Sciences, Kozhikode, Kerala, India
4 Department of Pathology, Aster Malabar Institute of Medical Sciences, Kozhikode, Kerala, India
Correspondence Address:
Dr. Amal George
Department of General Surgery, Aster Malabar Institute of Medical Sciences, Govindapuram P.O, Kozhikode - 673 016, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ksj.ksj_2_20
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Retroperitoneal extrarenal angiomyolipoma (AML) presents a diagnostic challenge, because it can mimic other malignant and benign retroperitoneal tumours. Oestrogen and progesterone receptor expression is frequent in AML, so hormonal changes during pregnancy act as fertile soil for attaining huge size. During pregnancy, AMLs have high inclination to enhance in size and break. This increased risk is due to presence of progesterone and oestrogen receptors in AMLs, an enhanced maternal circulation and potentially greater intra-abdominal pressure related with pregnancy. We are presenting a 38-year-old pregnant patient with retroperitoneal extra renal AML, which presented as incidentally detected huge retroperitoneal mass.
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