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January 19, 1976

Liver Cell Adenoma

Author Affiliations

Albuquerque, NM

JAMA. 1976;235(3):249. doi:10.1001/jama.1976.03260290011005

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To the Editor.—  I read with interest Dr Baum's letter (232:1329) and would like to add another case to the group— one with a different treatment.

Report of a Case.—  In August 1974, a 29-year-old woman was admitted with the now-typical history and findings of hemorrhage from liver cell adenoma. She had been taking birth control pills for more than five years. At operation, there was bleeding from the undersurface of the right lobe of the liver, where the capsule had been torn. Frozen section of the liver tissue was interpreted as necrotic liver. As temporary occlusion of the right hepatic artery had controlled the bleeding, this was made permanent with clips and the wound was closed with drainage to the subhepatic space. Permanent sections were interpreted as liver cell adenoma.Postoperatively, she had bilateral pleural effusions, moderate fever, and tachycardia, all of which resolved without special treatment. Liver function,