Liver cell adenoma presenting as acute abdomen

Area of Science:

• Hepatobiliary Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Oral contraceptive use is a known risk factor for hepatic adenomas.
• Hepatic adenomas can present with spontaneous or intra-abdominal bleeding.
• Right hypochondrium pain can indicate liver pathology.

Observation:

• A 31-year-old female presented with acute right hypochondrium abdominal pain.
• The patient developed shock and severe intra-abdominal bleeding within two days.
• Bleeding was traced to the right lobe of the liver.

Findings:

• The patient had a seven-year history of oral contraceptive use.
• Investigations confirmed a bleeding liver adenoma as the source of hemorrhage.
• Successful laparotomy and right hepatic lobectomy were performed.

Implications:

• Early diagnosis and surgical intervention are crucial for managing bleeding liver adenomas.
• Complete surgical resection of hepatic adenomas ensures favorable patient outcomes.
• This case highlights the importance of considering oral contraceptive-associated liver tumors in women with abdominal emergencies.