O F Bathe1, C Mies, D Franceschi, J Casillas, A S Livingstone. 1. Department of Surgery, Sylvester Comprehensive Cancer Center and Jackson Memorial Hospital, University of Miami, Miami, FL, USA. bathe@ucalgary.ca
Abstract
BACKGROUND: Spontaneous infarction or hemorrhage of focal nodular hyperplasia (FNH) has rarely been reported in the literature. CASE OUTLINE: 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. CONCLUSION: Although conservative management of FNH is often adopted, this case illustrates that these lesions can undergo massive bleeding.
BACKGROUND: Spontaneous infarction or hemorrhage of focal nodular hyperplasia (FNH) has rarely been reported in the literature. CASE OUTLINE: 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. CONCLUSION: Although conservative management of FNH is often adopted, this case illustrates that these lesions can undergo massive bleeding.
Authors: Matthanja Bieze; Olivier R C Busch; Pieter J Tanis; Joanne Verheij; Saffire S K S Phoa; Dirk J Gouma; Thomas M van Gulik Journal: HPB (Oxford) Date: 2013-03-19 Impact factor: 3.647