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Nugent TS, Donlon N, Kelly M, et al. Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man. ACG Case Rep J. 2021;8(5):e00601doi: 10.14309/crj.0000000000000601.
Nugent, T. S., Donlon, N., Kelly, M., Iqbal, M., Murphy, N., Ryan, M., & Maguire, D. (2021). Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man. ACG case reports journal, 8(5), e00601. https://doi.org/10.14309/crj.0000000000000601
Nugent, Timothy S, et al. "Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man." ACG case reports journal vol. 8,5 (2021): e00601. doi: https://doi.org/10.14309/crj.0000000000000601
Nugent TS, Donlon N, Kelly M, Iqbal M, Murphy N, Ryan M, Maguire D. Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man. ACG Case Rep J. 2021 May 24;8(5):e00601. doi: 10.14309/crj.0000000000000601. eCollection 2021 May. PMID: 34046510; PMCID: PMC8148419.
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ACG Case Rep J. 2021 May 24;8(5):e00601. doi: 10.14309/crj.0000000000000601. eCollection 2021 May.

Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man.

ACG case reports journal

Timothy S Nugent, Noel Donlon, Michael Kelly, Masood Iqbal, Noelle Murphy, Mark Ryan, Donal Maguire

Affiliations

  1. Department of Surgery, Beacon Hospital, Sandyford, Dublin, Ireland.
  2. Department of Gastroenterology and Hepatology, Beacon Hospital, Sandyford, Dublin, Ireland.
  3. Critical Care Partners, Anaesthetists and Intensivists, Beacon Hospital, Sandyford, Dublin, Ireland.
  4. Department of Interventional Radiology, Beacon Hospital, Sandyford, Dublin, Ireland.

PMID: 34046510 PMCID: PMC8148419 DOI: 10.14309/crj.0000000000000601

Abstract

Hepatocellular adenomas are uncommon benign epithelial tumors of the liver that are associated with several risk factors such as anabolic androgens and oral contraceptive pills. They may present as incidental findings, with abdominal pain or hemorrhage. This case report details the presentation and management of a life-threatening hepatocellular adenomas hemorrhage in a seemingly healthy 28-year-old man. After initial conservative management, a clinical deterioration prompted urgent reevaluation and successful embolization of the liver through transarterial embolization. As oral contraceptive pills use and anabolic steroid abuse have become more prevalent in recent decades, we may begin to see more of these presentations.

© 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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