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Hepatic adenomatosis in a young woman with glucose intolerance
Kiran Bambha1, David Nagorney, Schuyler Sanderson
1Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Background:
A 30-year-old white woman presented to our department in December 2004 for clinical evaluation of episodic, severe, right upper quadrant pain. She was otherwise healthy and her only medication was a daily oral contraceptive pill. Her past medical history was notable for gestational diabetes and fasting hyperglycemia since her pregnancy. Family history was significant for a younger sister with diabetes mellitus, but no known family history of liver disease.
Investigations:
Physical examination, laboratory investigations, multiphasic CT scan of the abdomen, exploratory laparotomy with biopsies.
Diagnosis:
Hepatic adenomatosis.
Management:
Subsegmental hepatic resection followed by interval, long-term follow-up with hepatic imaging.
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