A rare case of giant hepatic angiomyolipoma with subcapsular rupture

Hepatic angiomyolipoma (HAML) is a rare mesenchymal neoplasm that predominantly affects middle-aged women. In this study, we present case of 49-year-old woman with giant HAML accompanied by spontaneous subcapsular rupture. The patient initially experienced nausea and abdominal distention, followed an enlargement the upper circumference. Laboratory examination revealed decreased serum hemoglobin, while tumor biomarkers were within normal ranges. Imaging studies, such as ultrasound contrast-enhanced computed tomography (CT), demonstrated large mass heterogeneous density hypervascularity. appeared to have invaded left liver, raising concerns about possible malignancy. Subsequent positron-emission tomography/CT confirmed increased fluorodeoxyglucose uptake in mass. Laparoscopic exploration protruding, well-encapsulated from exhibiting hemorrhage. Surgical resection liver was performed, leading successful outcome.