Hepatic angiomyolipoma: A case report and review of the literature

Introduction: Angiomyolipomas are benign tumors. They can be asymptomatic or cause various types of atypical abdominal pain, which are uncommon consequences of this pathologic growth. The advent of new radiologic modalities has allowed for early diagnostics and treatment of these entities. Case Report: We report the case of a 60-year-old female, with no history of chronic disease, who consulted of right upper abdominal quadrant pain. We conducted a Doppler ultrasound and a contrast enhanced computed tomography (CT), which demonstrated a double component fatty hepatic lesion with a dysplastic vascular network. The choice of a therapeutic abstention with sonographic surveillance every three months was made, with a further possibility of embolization and surgical resection. Conclusion: Early diagnosis followed by surgical resection is the mainstay of management of large hepatic masses. Computed tomography angiography is the modality of choice for the detection and evaluation of hepatic angiomyolipomas. Magnetic resonance imaging (MRI) and liver biopsies are recommended for difficult cases with no fatty components. In our case, we made the choice of abstention with sonographic surveillance.