The authors report a case of bilateral renal angiomyolipoma, associated wit
h tuberous sclerosis revealed by abdominal pains, in a 30-year-old man. The
diagnosis, suspected by the clinic and ultrasonography, is affirmed by CT
scan. In light of this case, the authors review the features of this diseas
e, the ambiguous character of angiomyolipoma, the prognosis and choice of m
anagement. Several elements incited us to adopt therapeutic abstention with
regular monitoring of the patient for this begnin tumor with slow evolutio
n. (C) 2000 Editions scientifiques et medicales Elsevier SAS.