Background: Lipomatous tumors of the liver are very uncommon. They are composed of fatty, muscular, vascular and haemopoetic tissues and according to the predominant tissue type they include angiomyolipomas,
myolipomas and myelolipomas. Among these tumors myelolipoma is rare entity.
Case report: A case a of symptomatic hepatic myelolipoma in a 57-year-old man is reported. The diagnostic appearance of hepatic myelolipoma including ultrasound, computed tomography and angiography is described and compared with previous reports. Since this tumor was symptomatic and malignancy could not be ruled out preoperatively, hepatic resection was done.
Conclusions: The diagnosis of myelolipoma was made after histopathological examination of the resected
tumor. This tumor is not only a rare entity, but also is difficult to diagnose before surgery.

Keywords: hepatic myelolipoma, benign liver tumours, Surgery, Diagnosis