Spontaneous Rupture of Hepatocellular Adenoma During Pregnancy Complicated by Intrauterine Fetal Death

A very rare cause of intrauterine fetal death through maternal hemorrhagic shock is the rupture of a hepatocellular adenoma (HCA) during pregnancy. Estrogens appear to contribute to the growth of the mass, which makes pregnancy a vulnerable period for an emergency associated with such masses. Rupture of HCA is potentially life-threatening and should lead to prompt investigation and treatment. We present a case of a primigravida, at term, admitted hemodynamically unstable from hemorrhagic shock due to a rupture of a hepatocellular adenoma.