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Hepatic angiomyolipoma resected by eft hepatectomy: Case report
Mauricio De la Fuente-Lira1, Ana K García-Ávila1, Luis E Casasola-Sánchez1
1Departamento de Gastrocirugía. Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Cirugia Y Cirujanos
|September 23, 2020
Summary
Hepatic angiomyolipoma, a rare mesenchymal tumor, was incidentally diagnosed via CT scan in an asymptomatic patient. Surgical resection confirmed the benign nature of the tumor, with no complications.
Area of Science:
- Hepatology
- Oncology
- Pathology
Background:
- Hepatic angiomyolipoma is a rare mesenchymal tumor, part of the Perivascular Epithelioid Cell (PEComa) group.
- It has an indeterminate potential for malignancy and often presents with nonspecific clinical symptoms.
- Key radiological features include high vascularity and the presence of macroscopic adipose tissue.
Observation:
- A case of an asymptomatic left hepatic angiomyolipoma was incidentally diagnosed via computed tomography (CT) in a patient with no significant medical history.
- The patient underwent a left lateral hepatectomy for complete tumor resection.
Findings:
- The resected hepatic angiomyolipoma was confirmed to be negative for malignancy upon final histological examination.
- The surgical procedure and postoperative recovery were without complications.
Implications:
- This case highlights the importance of incidental findings in asymptomatic patients and the role of advanced imaging in diagnosis.
- Complete surgical resection is an effective treatment for hepatic angiomyolipoma, leading to favorable outcomes.
- Further research into the indeterminate malignancy potential of PEComas is warranted.

