Spontaneous hepatic hemorrhage associated with multiple hepatocellular adenomas: Case report

Hepatocellular adenoma is a rare benign neoplasm that predominantly affects females, with an increased incidence linked to oral contraceptive use. These tumors are associated with a risk of malignancy and can result in rupture, leading to spontaneous hepatic hemorrhage. This report presents a 28-year-old female on oral contraceptives with an acute abdomen. Multiple hepatocellular adenomas were identified, the largest measuring 8 cm and showing signs of previous rupture. Given this situation, the patient successfully underwent partial hepatectomy and cholecystectomy to resolve the condition. This case highlights the importance of evaluating the acute abdomen to identify hemorrhagic causes and manage complications effectively.