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.
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Received 19 October 1995; Revision received 27 December 1995; Accepted 3 June 1996
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Guidi, G., Catalano, O. & Rotondo, A. Spontaneous rupture of a hepatic angiomyolipoma: CT findings and literature review. Eur Radiol 7, 335–337 (1997). https://doi.org/10.1007/s003300050162
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DOI: https://doi.org/10.1007/s003300050162