Massive hemorrhage and infarction complicating focal nodular hyperplasia of the liver.

Abstract

Spontaneous infarction or hemorrhage of focal nodular hyperplasia (FNH) has rarely been reported in the literature. A 43-year-old woman presented with upper abdominal pain and anemia. CT scan showed an enormous perihepatic hematoma. Trisegmentectomy successfully dealt with the problem. Although conservative management of FNH is often adopted, this case illustrates that these lesions can undergo massive bleeding.