From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma
Introduction. Hepatic adenoma is an uncommon benign liver tumor presenting as solitary lesions or even rarely as hepatic adenomatosis. Large lesions carry a risk of rupture, hemorrhage, and malignant transformation. This case report aims to increase awareness about risk factors for hepatic adenomas,...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2021-01-01
|
| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/9963440 |
| _version_ | 1798031627441405952 |
|---|---|
| author | Maria Mironova Mohammed K. Mahdi Jyoti Bhatia Rosemarie C. Nielson Cataldo Doria |
| author_facet | Maria Mironova Mohammed K. Mahdi Jyoti Bhatia Rosemarie C. Nielson Cataldo Doria |
| author_sort | Maria Mironova |
| collection | DOAJ |
| description | Introduction. Hepatic adenoma is an uncommon benign liver tumor presenting as solitary lesions or even rarely as hepatic adenomatosis. Large lesions carry a risk of rupture, hemorrhage, and malignant transformation. This case report aims to increase awareness about risk factors for hepatic adenomas, considering the increasing prevalence of obesity and the widespread use of oral contraceptive pills. Case Presentation. A 20-year-old obese female who was taking oral contraceptive pills for seven years presented to the emergency department with vomiting and abdominal pain caused by gastroenteritis. On imaging, multiple hepatic adenomas, including two lesions 6 and 9 cm in diameter, were incidentally found. During the hospitalization, the patient suddenly developed acute anemia and rupture of the largest lesion, which was promptly treated with arterial embolization. Discussion. Obesity and exposure to hormones are well-known risk factors for hepatic adenomas. The incidence of hepatic adenomas is steadily increasing because of the prevalence of obesity, especially among females. Lifestyle interventions for weight loss and discontinuation of oral contraceptive pills are considered a conservative treatment of hepatic adenomas. Large lesions possess the risk of malignant transformation and rupture and require surgical excision. |
| first_indexed | 2024-04-11T20:00:41Z |
| format | Article |
| id | doaj.art-c32247e7de8c4e7e908d3e63781da6db |
| institution | Directory Open Access Journal |
| issn | 2090-6528 2090-6536 |
| language | English |
| last_indexed | 2024-04-11T20:00:41Z |
| publishDate | 2021-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj.art-c32247e7de8c4e7e908d3e63781da6db2022-12-22T04:05:40ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/99634409963440From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic AdenomaMaria Mironova0Mohammed K. Mahdi1Jyoti Bhatia2Rosemarie C. Nielson3Cataldo Doria4Department of Medicine, Capital Health Regional Medical Center, 750 Brunswick Ave, Trenton, NJ 08638, USADepartment of Medicine, Capital Health Regional Medical Center, 750 Brunswick Ave, Trenton, NJ 08638, USADepartment of Gastroenterology, Capital Health Hopewell, One Capital Way, Pennington, NJ 08534, USADepartment of Medicine, Capital Health Regional Medical Center, 750 Brunswick Ave, Trenton, NJ 08638, USACancer Center, Capital Health Hopewell, Two Capital Way, Pennington, NJ 08534, USAIntroduction. Hepatic adenoma is an uncommon benign liver tumor presenting as solitary lesions or even rarely as hepatic adenomatosis. Large lesions carry a risk of rupture, hemorrhage, and malignant transformation. This case report aims to increase awareness about risk factors for hepatic adenomas, considering the increasing prevalence of obesity and the widespread use of oral contraceptive pills. Case Presentation. A 20-year-old obese female who was taking oral contraceptive pills for seven years presented to the emergency department with vomiting and abdominal pain caused by gastroenteritis. On imaging, multiple hepatic adenomas, including two lesions 6 and 9 cm in diameter, were incidentally found. During the hospitalization, the patient suddenly developed acute anemia and rupture of the largest lesion, which was promptly treated with arterial embolization. Discussion. Obesity and exposure to hormones are well-known risk factors for hepatic adenomas. The incidence of hepatic adenomas is steadily increasing because of the prevalence of obesity, especially among females. Lifestyle interventions for weight loss and discontinuation of oral contraceptive pills are considered a conservative treatment of hepatic adenomas. Large lesions possess the risk of malignant transformation and rupture and require surgical excision.http://dx.doi.org/10.1155/2021/9963440 |
| spellingShingle | Maria Mironova Mohammed K. Mahdi Jyoti Bhatia Rosemarie C. Nielson Cataldo Doria From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma Case Reports in Gastrointestinal Medicine |
| title | From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma |
| title_full | From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma |
| title_fullStr | From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma |
| title_full_unstemmed | From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma |
| title_short | From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma |
| title_sort | from an incidental finding to an emergent treatment a case report of a hepatic adenomatosis and large ruptured hepatic adenoma |
| url | http://dx.doi.org/10.1155/2021/9963440 |
| work_keys_str_mv | AT mariamironova fromanincidentalfindingtoanemergenttreatmentacasereportofahepaticadenomatosisandlargerupturedhepaticadenoma AT mohammedkmahdi fromanincidentalfindingtoanemergenttreatmentacasereportofahepaticadenomatosisandlargerupturedhepaticadenoma AT jyotibhatia fromanincidentalfindingtoanemergenttreatmentacasereportofahepaticadenomatosisandlargerupturedhepaticadenoma AT rosemariecnielson fromanincidentalfindingtoanemergenttreatmentacasereportofahepaticadenomatosisandlargerupturedhepaticadenoma AT cataldodoria fromanincidentalfindingtoanemergenttreatmentacasereportofahepaticadenomatosisandlargerupturedhepaticadenoma |