title: [Rupture of focal nodular hyperplasia in the 37th week of pregnanacy - case report].
abstract: OBJECTIVE
  We describe a case of spontaneous hepatic rupture associated with undiagnosed focal nodular hyperplasia of a patient in the third trimester of pregnancy. Additionally, we provide a brief review of literature.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynaecology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague.
  
  
  RESULTS
  We report the case of a 29 year old patient with otherwise physiological pregnancy, who was hospitalized with pain in left hypochondrium. The patient experienced painful respiration, increasing in intensity in supine position. The possibility of lung embolism was considered and ruled out. Based on a suspected haemoperitoneum, caesarean section was performed. During the inspection of peritoneal cavity a ruptured tumor on the liver was identified. Histological examination showed focal nodular hyperplasia.
  
  
  CONCLUSIONS
  Focal nodular hyperplasia is a benign liver lesion. Complications involving rupture or bleeding are very rare. 17 cases of hepatic rupture associated with focal nodular hyperplasia were described in published reports with only one case related to pregnancy. Our case emphasizes the importance of a close cooperation between a gynaecologist, radiologist and surgeon.
authors.forename: M
authors.initials: M
authors.lastname: Velíšková
authors.forename: R
authors.initials: R
authors.lastname: Vlk
authors.forename: M J
authors.initials: MJ
authors.lastname: Halaška
authors.forename: G
authors.initials: G
authors.lastname: Minajev
authors.forename: T
authors.initials: T
authors.lastname: Krejčí
authors.forename: L
authors.initials: L
authors.lastname: Rob
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D020518:Focal Nodular Hyperplasia / Q000175:diagnosis* / Q000601:surgery; D006465:Hemoperitoneum / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011263:Pregnancy Trimester, Third; D012422:Rupture, Spontaneous
keywords: focal nodular hyperplasia; hepatic rupture haemoperitoneum in pregnancy.