Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup
نویسندگان
چکیده
We present the case of a young female on oral contraceptives (OCs) who was diagnosed with focal nodular hyperplasia (FNH) and remained on oral contraceptives. Months later, the patient presented with acute abdominal pain and intratumoral hemorrhage in the liver. The patient was taken to the operating room (OR) and was diagnosed with a ruptured hepatic adenoma (HA). We review the key diagnostic features of FNH and HA, the different management guidelines including use of OCs, and potential surgical indications. HA compared to FNH has a significantly higher rate of sequelae despite being a benign lesion, thus providers must accurately distinguish between the two diagnoses to prevent potential morbidity and mortality.
منابع مشابه
Multidetector CT findings of spontaneous rupture of hepatic adenoma in a patient with hepatic adenomatosis.
Hepatic adenomatosis (HA) is characterized by more than 10 adenomas in the liver, frequently scattered within both lobes. The potential for spontaneous bleeding, rupture, and malignant transformation is known. In HA, tumors show hypervascularization on arterial angiography, computed tomography (CT), and magnetic resonance imaging. We report the case of a 32-year-old woman who presented with a l...
متن کاملپارگی خودبهخودی کبد در بارداری بهدنبال سندرم HELLP : گزارش موردی
Background: Spontaneous hepatic rupture is a rare condition during pregnancy. Pregnant women with Hemolysis, Elevated Liver enzymes and Low Platelete count (HELLP) syndrome are more susceptible to hepatic rupture. It can occur per 40000 to 250000 pregnancies with high mortality and morbidity. There is no agreement on the best approach to this severe pregnancy complication. This is the case repo...
متن کاملA Spontaneously Ruptured Hepatic Metastasis From a Gastric Gastrointestinal Stromal Tumor That Presented as Hemoperitoneum
Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma. A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen. In this article, we report the...
متن کاملSpontaneous rupture of hepatic metastasis from a thymoma: A case report
Bleeding resulting from spontaneous rupture of the liver is an infrequent but potentially life threatening complication that may be associated with an underlying liver disease. A hepatocellular carcinoma or hepatic adenoma is frequently reported is such cases. However, hemoperitoneum resulting from a hepatic metastatic thymoma is extremely rare. Here, we present a case of a 62-year-old man with...
متن کاملModified rapid deployment hemostat terminates bleeding from hepatic rupture in third trimester.
Severe atraumatic intraperitoneal hemorrhage is uncommon during the third trimester of pregnancy. Within this small population of patients, ruptured hepatic adenoma, ruptured splenic artery aneurysm, and uterine rupture represent three common causes of antepartum third trimester intraperitoneal bleeding. Other less common causes include spontaneous bleeding because of the HELLP Syndrome (Hemoly...
متن کامل