title: [Hemorrhage into a liver adenoma associated with long-term use of oral contraceptives].
abstract: A 39-year-old woman was evaluated for acute midepigastric pain.  The patient was never severely ill; her only medication was an oral contraceptive (OC) which she took regularly over the last 12 years.  Abdominal ultrasonography and computed tomography revealed bleeding into a liver tumor.  At laparoscopy, 3 adenomas of the liver were detected.  Bleeding was restricted to 1 tumor and did not require surgical intervention.  OC medication was discontinued, and the patient was followed over more than 3 years.  The patient was doing very well; ultrasonographically, the liver tumors became gradually smaller.
authors.forename: H J
authors.initials: HJ
authors.lastname: Brambs
authors.forename: P
authors.initials: P
authors.lastname: Hoppe-seyler
authors.forename: P
authors.initials: P
authors.lastname: Billmann
authors.forename: H K
authors.initials: HK
authors.lastname: Koch
mesh_terms: D001695:Biology; D003267:Contraception; D003270:Contraceptive Agents; D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral; D004064:Digestive System; D004194:Disease; D005193:Family Planning Services; D006470:Hemorrhage; D008099:Liver; D008113:Liver Neoplasms; D009369:Neoplasms; D010146:Pain; D010827:Physiology; D012816:Signs and Symptoms
chemical_list: D003270:Contraceptive Agents; D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral
keywords: Biology; Bleeding; Contraception; Contraceptive Agents, Female--side effects; Contraceptive Agents--side effects; Contraceptive Methods--side effects; Diseases; Family Planning; Gastrointestinal Effects; Hepatic Effects; Liver Neoplasms; Neoplasms; Oral Contraceptives--side effects; Pain; Physiology; Signs And Symptoms