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Hemorrhage caused by ruptured liver cell adenoma following long-term oral contraceptives: a case report

Hemorrhage caused by ruptured liver cell adenoma following long-term oral contraceptives: a case report

Hepato-Gastroenterology 45(19): 224-225

Over 70% of women with liver cell adenomas are oral contraceptive (OC) users, with an average duration of OC use of 5-10 years. In these women, liver cell adenomas are prone to necrosis and hemorrhage. This paper presents the case of a 41-year-old Austrian woman who presented with an intrahepatic and subcapsular hematoma, with a focal capsular tear sealed off by a clot and the diaphragm. Histology revealed a 4.5 cm, partially necrotic liver cell adenoma. The woman had been taking OCs for 14 years. Young OC users with epigastric disorders should be evaluated routinely by ultrasound for liver lesions and resection of liver lesions should be considered to control hemorrhage.

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Accession: 008763401

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PMID: 9496518

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