Spontaneous rupture of a hepatic angiomyolipoma: CT findings and literature review

G. Guidi, O. Catalano, A. Rotondo

Research output: Contribution to journalArticlepeer-review

Abstract

Angiomyolipoma is an uncommon lipomatous neoplasm of the liver, usually asymptomatic and identified incidentally. We describe the CT findings of a surgically confirmed case of spontaneously ruptured angiomyolipoma with evidence of internal hemorrhage and hemoperitoneum. The CT features were that of an exophitic, oval, well-defined mass with inhomogeneous attenuation values due to the presence of fat- and soft-tissue densities. A review of the literature identified 49 cases of hepatic angiomyolipoma. Few of these occurred in symptomatic patients and showed intratumoral hemorrhagic foci, but none had a clear rupture with external bleeding. To our knowledge, this is the first reported case with this complication.

Original languageEnglish
Pages (from-to)335-337
Number of pages3
JournalEuropean Radiology
Volume7
Issue number3
Publication statusPublished - 1997

Keywords

  • Angiomyolipoma
  • CT
  • Hemorrhage
  • Liver neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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