Spontaneous hepatic hemorrhage associated with multiple hepatocellular adenomas: Case report

Autores/as

  • Leandro Billó Department of General Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil
  • Nicoly Camila Spack Medicine Course, Faculdades Pequeno Príncipe, Curitiba, Paraná, Brazil https://orcid.org/0000-0003-4945-5009
  • Bruno Landal Cavassin Department of General Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil https://orcid.org/0000-0002-1149-5446
  • Alan dos Santos Camargo Department of General Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil
  • Odair de Sousa Neto Department of General Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil
  • Francisco Emanuel de Almeida Department of General Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil

DOI:

https://doi.org/10.11565/arsmed.v50i1.2104

Palabras clave:

acute abdomen, general surgery, hepatectomy, liver neoplasms, liver cell adenoma

Resumen

Hepatocellular adenoma is a rare benign neoplasm that predominantly affects females, with an increased incidence linked to oral contraceptive use. These tumors are associated with a risk of malignancy and can result in rupture, leading to spontaneous hepatic hemorrhage. This report presents a 28-year-old female on oral contraceptives with an acute abdomen. Multiple hepatocellular adenomas were identified, the largest measuring 8 cm and showing signs of previous rupture. Given this situation, the patient successfully underwent partial hepatectomy and cholecystectomy to resolve the condition. This case highlights the importance of evaluating the acute abdomen to identify hemorrhagic causes and manage complications effectively.

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Publicado

2025-03-24

Cómo citar

Billó, L., Spack, N. C., Landal Cavassin, B., dos Santos Camargo, A., de Sousa Neto, O., & de Almeida, F. E. (2025). Spontaneous hepatic hemorrhage associated with multiple hepatocellular adenomas: Case report. ARS MEDICA Revista De Ciencias Médicas, 50(1). https://doi.org/10.11565/arsmed.v50i1.2104

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Casos Clinicos

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