Keen Deborah, Hannah Miranda, Fulton Jeanette, West Jonathan
University of South Carolina School of Medicine, Columbia, SC.
McLeod Regional Medical Center, Florence, SC.
Radiol Case Rep. 2025 Mar 8;20(5):2351-2354. doi: 10.1016/j.radcr.2025.01.085. eCollection 2025 May.
A 31-year-old Caucasian female presented to the emergency department where a CT revealed a large right lobe liver mass found to be a hepatic adenoma. The patient ceased taking her oral contraceptives, but subsequently became pregnant. Serial ultrasounds revealed the adenoma was enlarging steadily throughout pregnancy, and the patient underwent a hepatic adenoma trans-arterial embolization at 33 weeks gestation to reduce the risk of bleeding in the third trimester and during labor. Embolization for treatment of a hepatic adenoma in a patient who is pregnant is a relatively novel approach to reducing the tumor size and reducing the bleeding risk associated with the third trimester of pregnancy. The patient had no postprocedure complications, and postprocedure imaging revealed the hepatic adenoma decreased in size with no further intervention required to date.
一名31岁的白种女性前往急诊科，CT检查发现其右叶肝脏有一个大肿块，经诊断为肝腺瘤。患者停用了口服避孕药，但随后怀孕了。系列超声检查显示，腺瘤在整个孕期持续稳定增大，患者在妊娠33周时接受了肝腺瘤经动脉栓塞术，以降低孕晚期及分娩时出血的风险。对妊娠患者的肝腺瘤进行栓塞治疗，是一种相对新颖的减小肿瘤大小及降低与妊娠晚期相关出血风险的方法。患者术后无并发症，术后影像学检查显示肝腺瘤体积减小，迄今为止无需进一步干预。
