Hepatic cell adenoma (HCA) is a richly vascular lesion. Spontaneous rupture is a recognised complication that requires emergent attention, particularly when it is accompanied by hemodynamic instability.
This protocol applies to patients with a ruptured hepatic adenoma presenting with hemodynamic instability. Due to the vascularity of the lesion, rupture can lead to significant haemorrhage, making rapid clinical response essential.
Management begins with initial supportive care and hemodynamic stabilization. The complete protocol details the full structured sequence of interventions beyond these initial measures.
DOI: 10.14309/ajg.0000000000002857
Because of the rich vascularity of this lesion, spontaneous rupture of HCAs is a known complication that requires emergent attention in the case of hemodynamic instability.
In patients with ruptured hepatic adenomas, we suggest hemodynamic stabilization followed by embolization and/or surgical resection (conditional recommendation, very low level of evidence).
Management includes initial supportive care with hemodynamic stabilization and transfusion.
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