Benign liver tumor
ICD-10 D13.4 · ICD-11 2E92.7

Treatment of Benign Liver Tumor in Bleeding Hepatocellular Adenoma with Haemodynamic Instability

Bleeding hepatocellular adenoma (liver cell adenoma) presenting with haemodynamic instability is an acute, high-priority clinical scenario. It requires a defined, staged management strategy that extends beyond the initial emergency phase.

Clinical Scenario

This protocol applies to patients with a bleeding hepatocellular adenoma who are haemodynamically unstable at presentation. Following stabilisation, follow-up imaging of the residual lesion determines the next step in management.

Management Approach

The protocol addresses a surgical approach targeting the residual viable lesion identified on follow-up imaging. The full sequence, criteria, and decision points are available in the complete structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

  1. 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)

DOI: 10.1016/j.jhep.2016.04.001

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