A successful live donor kidney transplantation after large angiomyolipoma excision

INTRODUCTIONAngiomyolipoma is the most common benign neoplasm of the kidney. Successful transplantation of an AML affected kidney has been reported. However it is still often seen as a contraindication to transplantation.PRESENTATION OF CASEA 47-year-old female underwent assessment for a direct specified kidney donation to her husband who had end stage renal failure, due to adult polycystic kidney disease. Routine pre-operative CT angiography demonstrated a large 6 cm × 4 cm AML arising from the upper pole of the right kidney. Right-side hand assisted retro-peritoneoscopic live donor nephrectomy with bench tumour excision was subsequently performed. Recipient implantation was unremarkable with no haemorrhage.DISCUSSIONHistology confirmed a 7 cm AML. At 36 months follow up, the recipient's serum creatinine was 158 μmol/l and eGFR 40 ml/min without the need for dialysis at any stage.CONCLUSIONAML should not be a contraindication for specified live kidney donation, despite a size of 7 cm.