Intrahepatic rupture of a caudate lobe adenoma in liver adenomatosis.
Hepatic adenomatosis is a rare benign disease that is more common in young and middle-aged women who are non-steroid dependent; it is usually symptomatic, progressive, and susceptible to hemorrhagic complications. Malignant transformation within adenomas is rare. The management of hepatic adenomatosis remains difficult due to the absence of predictive signs of complications, other than the size of the adenomas. Resective surgery is usually indicated, but liver transplantation could be an indication in highly symptomatic or progressive forms of the disease and represents the treatment of choice in cases of malignant transformation. We report a case of intrahepatic rupture of a caudate lobe adenoma which occurred in an adolescent with hepatic adenomatosis; we also present a brief review of the literature.
Jovine
Elio
E
Modena and Reggio Emilia, University School of Medicine, Italy.
Biolchini
Federico
F
Talarico
Fernando
F
Lazzari
Andrea
A
Lerro
Federica M
FM
Selleri
Simonetta
S
Landolfo
Giovanni
G
Martuzzi
Federica
F
D000236:Adenoma / Q000097:blood / Q000150:complications* / Q000601:surgery; D000293:Adolescent; D005260:Female; D006498:Hepatectomy; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000150:complications* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011859:Radiography; D012421:Rupture