[Spontaneous rupture of a hepatic adenoma associated with hepatic peliosis]

Benign hepatic tumors, although rare, are each time encountered more frequently, occasionally posing diagnostic and therapeutic problems. Within this group of tumors, hepatic adenomas are the least common, although its increasing incidence could be attributed to the use of contraceptives or to the availability of newer diagnostic methods. A hepatic adenoma presenting with spontaneous rupture at diagnosis is associated with a mortality of 20%, for which emergency hepatectomy is indicated and usually carried out under unstable hemodynamic conditions. In this report, we present the case of a 30 year old female with three previous pregnancies carried to term, without any history of intake of contraceptive or hepatotoxic drugs, who presented with spontaneous rupture of a large hepatic adenoma associated with hepatic peliosis.