42 year old female patient came with complaints of pain abdomen since 1 day and vomiting since 1 day.
patient was apparently asymptomatic 1 day back when she developed pain abdomen, slow in onset, gradually progressive, continuous in nature, dull aching, not aggravating and no relieving factors.
she also complained of vomiting since 1 day, 2 episodes, non projectile, containing ingested food particles, not associated with nausea.
history of fever, low grade, not associated with chills and rigors.
no history of burning micturition, hematuria, melena, loose stools, constipation.
no history of yellowish discoloration of eyes.
no history of any trauma.
no history of White discharge PV
history of loss of weight-about 12 KGS in past 6 months.
history of loss of appetite.
history of amenorrhea since 8 months.
no history of DM, TB, HTN, epilepsy, thyroid disorders, asthma.
no history of any previous surgeries
Local examination suggested a retroperitoneal mass
diagnosis: angiomyolipoma kidney
the patient underwent surgery to remove the mass.
(A photo of the kidney removed is attached.)