Management of a giant ruptured hepatocellular adenoma

Hippokratia 2007; 11 (2): 86-88

V Papanikolaou, D Giakoustidis, K Patsiaoura, G Imvrios, N Antoniadis, N Ouzounidis, V Nikopolitidis, A Antoniadis
Dpt of Transplantation Surgery
Dpt of Pathology, Aristotle University, Hippokration Hospital, Thessaloniki, Greece


This report describes a rare case of a young woman with massive intra-abdominal bleeding due to a giant ruptured hepatocellular adenoma. The patient had never used oral contraceptive pills and she was urgently operated for haemorrhage control in another hospital where the left hepatic artery was also ligated. After haemodynamic stabilization in the ICU and because of a complicated postoperative course (signs of intraabdominal sepsis) she was transferred to our hospital and a left lobectomy was performed. We present the case and comment on the preferred treatment modalities of hepatocellular adenomas.

Keywords: hepatocellular, adenoma, giant, rupture, surgical

Correspoding author: Papanikolaou V, Dpt of Transplantation Surgery Aristotle University, Hippokration Hospital, Konstantinoupoleos 49, 54642 Thessaloniki, Greece, tel: +30 310892167, e-mail: