Ruptured hepatic adenoma in liver adenomatosis: a case report of emergency surgical management.
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).
Chiappa
A
A
Department of Emergency Surgery, S. Raffaele Scientific Institute, University of Milan, Italy. chiappa@hsr.it
Zbar
A
A
Audisio
R
R
Di Palo
S
S
Bertani
E
E
Staudacher
C
C
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
D003280:Contraceptives, Oral, Synthetic; D009652:Norpregnenes; C033273:Gestodene; D004997:Ethinyl Estradiol