Treatment of Benign Liver Tumor in Bleeding Hepatocellular Adenoma with Haemodynamic Instability
Hepatocellular adenoma (HCA) is a benign liver tumor that can present with acute haemorrhage. When bleeding occurs alongside haemodynamic instability, the clinical situation demands an urgent, structured response.
Clinical scenario
This protocol is specific to bleeding hepatocellular adenoma presenting with haemodynamic instability — an acute emergency in which active haemorrhage must be controlled promptly.
Treatment approach (partial)
Embolization is the central intervention for controlling active bleeding in this setting. The complete protocol addresses the full management sequence for this scenario, including decisions required in the context of major haemorrhage.
Full regimen available via the link belowReferences
DOI: 10.1016/j.jhep.2016.04.001
- A bleeding HCA with haemodynamic instability should be embolized and residual viable lesion on follow-up imaging is an indication for resection (evidence level III, grade of recommendation 2)
- In cases of major haemorrhage, resuscitation with blood products and transfer to a centre where embolization can be performed to control active bleeding is appropriate.