• Yu Shen, Zilin Wang, and Zhenhua Liu.
• Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
• Medicine (Baltimore). 2024 Sep 13; 103 (37): e39631e39631.

RationaleThe different variants of renal angiomyolipoma pose diagnostic and therapeutic challenges in clinical practice. We report a rare case of renal solid-cystic angiomyolipoma, with the aim of offering new insights into the preoperative imaging assessment of renal masses.Patient ConcernsA 72-year-old female was admitted to our hospital because of a solid-cystic mass discovered in her right kidney during an abdominal computed tomography scan at another hospital. Her medical history includes a 5-year history of hypertension treated with medication, as well as hepatic cysts and bilateral renal cysts.DiagnosesThe postoperative pathological diagnosis is renal solid-cystic angiomyolipoma.InterventionsThe solid-cystic mass in the right kidney was surgically removed via laparoscopic partial nephrectomy under general anesthesia.OutcomesThe patient had an uneventful recovery and was discharged on the second postoperative day without complications.LessonsRenal angiomyolipoma is usually easily distinguishable on imaging, but this case aims to alert clinicians to differentiate the rare variants of renal angiomyolipoma from other renal tumors. In the future, more cases are needed to summarize the characteristics of different variants of renal angiomyolipoma.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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