Ashby Preston F, Alfafara Chelsea, Amini Albert, Amini Richard
Department of Surgery, Arizona College of Osteopathic Medicine.
College of Medicine, University of Arizona.
Cureus. 2017 Dec 20;9(12):e1975. doi: 10.7759/cureus.1975.
We present the case of a young female on oral contraceptives (OCs) who was diagnosed with focal nodular hyperplasia (FNH) and remained on oral contraceptives. Months later, the patient presented with acute abdominal pain and intratumoral hemorrhage in the liver. The patient was taken to the operating room (OR) and was diagnosed with a ruptured hepatic adenoma (HA). We review the key diagnostic features of FNH and HA, the different management guidelines including use of OCs, and potential surgical indications. HA compared to FNH has a significantly higher rate of sequelae despite being a benign lesion, thus providers must accurately distinguish between the two diagnoses to prevent potential morbidity and mortality.
我们报告了一例正在服用口服避孕药（OCs）的年轻女性病例，该患者被诊断为局灶性结节性增生（FNH），之后继续服用口服避孕药。数月后，患者出现急性腹痛和肝脏肿瘤内出血。患者被送往手术室（OR），被诊断为肝腺瘤（HA）破裂。我们回顾了FNH和HA的关键诊断特征、包括使用OCs在内的不同管理指南以及潜在的手术指征。尽管HA是良性病变，但与FNH相比，其后遗症发生率显著更高，因此医疗人员必须准确区分这两种诊断，以预防潜在的发病率和死亡率。
