血管平滑肌脂肪瘤(angiomyolipoma,AML)发生于肾脏少见,肝脏罕见,肝、肾同时多发则更为罕见。作者遇到1例报告如下: 患者男性,34岁,因腰部隐痛不适4年余就诊。查体:病员体胖,腹软未扪及包块,左肾区叩击痛。化验:肝、肾功能正常,尿常规正常。无合并结节性硬化。 4年前B超发现:肝脏多发血管瘤、双肾多发占位性病变,性质特定。CT检查见:左肾下极、右肾上 Angiomyolipooma (AML) occurs in rare kidneys, is rare in the liver, and is more common in the liver and kidneys. The author encountered a case report as follows: The patient was a 34-year-old man with a discomfort in his lower back for more than 4 years. Physical examination: The patient’s body was fat, and the abdomen was not palpable. Laboratory tests: normal liver and kidney function, normal urine routine. No combined tuberous sclerosis. Four years ago, B-ultrasound found that there were multiple liver hemangiomas and multiple kidney-occupying lesions, which were specific in nature. CT examination see: left kidney lower pole, right kidney