Post partum rupture of hepatocellular adenoma- a rare case report

Abstract

Hepatocellular adenoma is a hormone dependent tumor of the liver. It can increase in size under the effect of hormones. It tends to increase in size under the effect of oral contraceptives (OCPs) and pregnancy. Most of the Hepatocellular Adenomas are asymptomatic and usually do not require any treatment. Hepatocellular adenoma with size <5 cm carries minimal risks and complications in terms of malignant transformation and rupture. Big adenoma in advanced gestational age has a high propensity to rupture. It is a catastrophic event which requires prompt management and treatment to save life of the patient and the fetus. There are very few cases reported of rupture of hepatocellular adenoma in ante-natal phase and none in post-partum. Here in our case report, we present a case of rupture of hepatocellular adenoma in the postpartum period, which was recognized, and timely intervention was done, and we could save the life of the patient with a good prognosis.