Partial left hepatectomy in a young patient with ruptured hepatic adenoma: A case report

doi:10.12998/wjcc.v14.i2.114671

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Jan 16, 2026; 14(2): 114671
Published online Jan 16, 2026. doi: 10.12998/wjcc.v14.i2.114671

Partial left hepatectomy in a young patient with ruptured hepatic adenoma: A case report

Marcos Alberto Pagani Junior, Letícia Siman Lopes, Francisco Antonio Sergi Filho, Felippe Antonio Goes Scorsioni, Marcos Barbosa Tavares Filho, Raissa Poletto Maluf Amaral, Leonardo Escobar Medeiros, Lucca Idalgo Guillen Carneiro, Helena Gazini Belluzzo, Thais Rissato Vinholo, Daniela Vieira Buchaim, Rogério Leone Buchaim

Marcos Alberto Pagani Junior, Letícia Siman Lopes, Felippe Antonio Goes Scorsioni, Marcos Barbosa Tavares Filho, Raissa Poletto Maluf Amaral, Leonardo Escobar Medeiros, Lucca Idalgo Guillen Carneiro, Helena Gazini Belluzzo, Thais Rissato Vinholo, Department of Gastroenterology, University of Marília, Marilia 17525-160, São Paulo, Brazil

Francisco Antonio Sergi Filho, Department of Hepatobiliary Surgery and Liver Transplantation, Hospital do Coração (Hcor), São Paulo 04004-030, São Paulo, Brazil

Daniela Vieira Buchaim, Department of Anatomy, Medical School, University Center of Adamantina, Adamantina 17800-000, São Paulo, Brazil

Rogério Leone Buchaim, Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, São Paulo, Brazil

Author contributions: Pagani Junior MA, Lopes LA, Sergi Filho FA, Góes Scorsioni FA, Tavares Filho MB contributed to manuscript writing and editing, and data collection; Maluf Amaral RP, Medeiros LE, Guillen Carneiro LI, Belluzzo HG, Vinholo TR contributed to data analysis; Buchaim DV, Buchaim RL contributed to conceptualization and supervision; all authors have read and approved the final manuscript.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Rogério Leone Buchaim, Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, Quadra 9 - Jardim Brasil, Bauru - SP, Bauru 17012-901, São Paulo, Brazil. rogerio@fob.usp.br

Received: September 26, 2025
Revised: November 1, 2025
Accepted: December 25, 2025
Published online: January 16, 2026
Processing time: 112 Days and 14.1 Hours

Core Tip

Core Tip: Hepatic adenomas (HA) are rare benign liver neoplasms. Clinically, they are usually asymptomatic. We report a case of intra-abdominal hemorrhage due to spontaneous rupture, configuring a hemorrhagic acute abdomen with imminent risk to life. Combined with the analysis of cases indexed in PubMed, spontaneous rupture of a HA represents a rare and serious medical emergency, responsible for approximately 20%-30% of complications from these tumors. Early detection of suspicious lesions is a favorable factor for patient survival. After the discovery of HA, providing appropriate active treatment has positive effects on the prognosis of patients. The treatment plan should be based on the patient’s response to conservative measures and hepatic arterial embolization up to emergency hepatectomy, depending on the extent of the lesion and hemodynamic stability.