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Case Report
Hepatic angiomyolipoma: A case report and review of the literature
1 Ibn Sina Hospital, Emergency Radiology Department, Mohamed V University, Rabat, Morocco
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Sanae Amalik
Ibn Sina Hospital, Emergency Radiology Department, Mohamed V University, Rabat,
Morocco
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Article ID: 101113Z01SA2020
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Amalik S, Ayouche O, Amrani E, Zahra F, Jroundi L. Hepatic angiomyolipoma: A case report and review of the literature. Int J Case Rep Images 2020;11:101113Z01SA2020.ABSTRACT
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.
Keywords: Angiomyolipoma, Benign, Computed tomography, Hepatic, Solid mass
SUPPORTING INFORMATION
Author Contributions
Sanae Amalik - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Othman Ayouche - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
El Amrani - Drafting the article, Final approval of the version to be published
Fatima Zahra - Drafting the article, Final approval of the version to be published
Laila Jroundi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Sanae Amalik et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
