From an Incidental Finding to an Emergent Treatment: A Case Report of a Hepatic Adenomatosis and Large Ruptured Hepatic Adenoma
| Autor: | Jyoti Bhatia, Rosemarie C Nielson, Mohammed Mahdi, Maria Mironova, Cataldo Doria |
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| Rok vydání: | 2021 |
| Předmět: |
History
medicine.medical_specialty Abdominal pain Liver tumor Polymers and Plastics Adenoma Case Report RC799-869 Gastroenterology Industrial and Manufacturing Engineering Malignant transformation Lesion 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Business and International Management business.industry Incidence (epidemiology) Diseases of the digestive system. Gastroenterology medicine.disease Discontinuation stomatognathic diseases 030220 oncology & carcinogenesis Vomiting 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Case Reports in Gastrointestinal Medicine Case Reports in Gastrointestinal Medicine, Vol 2021 (2021) |
| ISSN: | 2090-6536 2090-6528 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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