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Ashby PF, Alfafara C, Amini A, et al. Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup. Cureus. 2017;9(12):e1975doi: 10.7759/cureus.1975.
Ashby, P. F., Alfafara, C., Amini, A., & Amini, R. (2017). Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup. Cureus, 9(12), e1975. https://doi.org/10.7759/cureus.1975
Ashby, Preston F, et al. "Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup." Cureus vol. 9,12 (2017): e1975. doi: https://doi.org/10.7759/cureus.1975
Ashby PF, Alfafara C, Amini A, Amini R. Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup. Cureus. 2017 Dec 20;9(12):e1975. doi: 10.7759/cureus.1975. PMID: 29492364; PMCID: PMC5820011.
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Cureus. 2017 Dec 20;9(12):e1975. doi: 10.7759/cureus.1975.

Spontaneous Rupture of a Hepatic Adenoma: Diagnostic Nuances and the Necessity of Followup.

Cureus

Preston F Ashby, Chelsea Alfafara, Albert Amini, Richard Amini

Affiliations

  1. Department of Surgery, Arizona College of Osteopathic Medicine.
  2. College of Medicine, University of Arizona.
  3. Arizona Premier Surgery, Chandler Regional Hospital.
  4. Department of Emergency Medicine, University of Arizona.

PMID: 29492364 PMCID: PMC5820011 DOI: 10.7759/cureus.1975

Abstract

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.

Keywords: focal nodular hyperplasia; hepatic adenoma; hepatic hemangioma

Conflict of interest statement

The authors have declared that no competing interests exist.

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