title: Ruptured hepatic adenoma in liver adenomatosis: a case report of emergency surgical management.
abstract: In hepatic adenomatosis, multiple liver cell adenomas (usually > or = 10) generally affects patients with no prior history of oral contraceptive use, androgenic steroid use, or glycogen storage disease. We report a rare case of a 44 year-old female who underwent emergency surgery for hemoperitoneum due to spontaneous rupture of a liver cell adenoma in hepatic adenomatosis, after prolonged use of two different contraceptives (Gestodene and Ethinylestradiol).
authors.affiliation: Department of Emergency Surgery, S. Raffaele Scientific Institute, University of Milan, Italy. chiappa@hsr.it
authors.forename: A
authors.initials: A
authors.lastname: Chiappa
authors.forename: A
authors.initials: A
authors.lastname: Zbar
authors.forename: R
authors.initials: R
authors.lastname: Audisio
authors.forename: S
authors.initials: S
authors.lastname: Di Palo
authors.forename: E
authors.initials: E
authors.lastname: Bertani
authors.forename: C
authors.initials: C
authors.lastname: Staudacher
mesh_terms: D018248:Adenoma, Liver Cell / Q000139:chemically induced / Q000473:pathology / Q000601:surgery*; D000328:Adult; D003280:Contraceptives, Oral, Synthetic / Q000009:adverse effects; D004630:Emergencies; D004997:Ethinyl Estradiol / Q000009:adverse effects; D005260:Female; D006801:Humans; D008099:Liver / Q000187:drug effects / Q000473:pathology; D008113:Liver Neoplasms / Q000139:chemically induced / Q000473:pathology / Q000601:surgery*; D009652:Norpregnenes / Q000009:adverse effects; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
chemical_list: D003280:Contraceptives, Oral, Synthetic; D009652:Norpregnenes; C033273:Gestodene; D004997:Ethinyl Estradiol