Surgical treatment of a bleeding hepatocellular adenoma: A case report

Background

Hepatocellular adenomas are benign liver tumors often associated with risk factors such as oral contraception (OC) in young women of childbearing age. Complications include the risk of hemorrhage and malignant transformation.

Case report

Our surgical ward included a 28-year-old patient with 4 gestures and 4 parts under estroprogestative (OC), conditions who presented with sudden-onset abdominal pain in the right hypochondrium without recent trauma, fever (38.5°), and no weight loss.

The patient had a conscious, blood pressure reading of 100/60 mmHG. Abdominal examination revealed tenderness in the right hypochondrium. An abdominal CT scan revealed a subcapsular hematoma of the liver associated with probable lesion of segment VI.

Hepatic RMI showed a well-limited hepatic lesion of segment VI VII, with a heterogeneous signal in T1 T2, moderate enhancement with gadolinium measuring 73 * 68 * 80, and a large subcapsular hematoma of the liver.

Resection of segment VI was performed. Microscopic examination confirmed the diagnosis of hepatocellular adenoma.

Conclusion

Here, we report the case of a patient with a bleeding hepatocellular adenoma who was treated by surgical resection. the aim of this case report is to show the management of hepatic bleeding adenomas larger than 5 cm.