Case of Hepatic Angiomyolipoma: An Unusual Hepatic Lesion with a Review of Diagnostic and Management Challenges

Hepatic angiomyolipoma (HAML) is a rare, benign mesenchymal tumor with varying proportions of adipose tissue, smooth muscle, and blood vessels in the liver. Often asymptomatic, HAML is usually discovered incidentally during imaging. Its imaging characteristics can mimic other hepatic lesions, such as hepatic adenoma and hepatocellular carcinoma, making a diagnosis challenging. This case highlights the diagnostic difficulties of HAML and the importance of biopsy and histopathology in confirming the diagnosis. Although most cases follow a benign course, management depends on the tumor size, location, and symptomatology. Asymptomatic tumors can be monitored with regular imaging, while surgical intervention is considered for larger or symptomatic lesions.