HEMORRHAGE CAUSED BY RUPTURED LIVER-CELL ADENOMA FOLLOWING LONG-TERM ORAL-CONTRACEPTIVES - A CASE-REPORT

A 41-year-old woman who had taken oral contraceptives for 14 years was admitted to the hospital with pain in the left shoulder region. and e pigastrium arising after regurgitation. Sonography and CT revealed a r uptured liver tumor with sealed-off liver hemorrhage. The resected spe cimen revealed a ruptured and partially necrotic liver cell adenoma. T his paradigmatic case illustrates a rare but well known, entity: liver cell adenomas prone to necrosis and hemorrhage, requiring emergency i ntervention, in women. on. Long-term oral contraceptive therapy.