Benign hepatic adenoma associated with oral contraceptive use mimicking pelvic inflammatory disease. A case report

An increased incidence of benign hepatic adenoma among users of oral contraceptives has been reported by several investigators during the past ten years. The majority of patients present with right-upper-quadrant pain, often associated with an upper abdominal mass. Our patient had an unusual clinical presentation simulating pelvic inflammatory disease. The appropriate diagnosis was reached with the aid of pelvic and abdominal sonography, liver-spleen scan and culdocentesis. The definitive management is partial hepatectomy, although there are reports of complete regression without surgery in minimally symptomatic patients following cessation of oral contraceptives.