Figure 2. Magnetic resonance imaging at T2-weignted sequences demonstrating bleeding in the exophytic lesion (arrow) with slight contrast intake for the masses.
Since these radiological features weren’t conclusive, a percutaneous biopsy was performed revealing a hepatocellular adenoma without precision of the subtype. No malignant signs were noticed. The surgical treatment was carried out because of the bleeding complication, the diameter above 5 cm, and the male gender. A Makuuchi incision was done. Per-operatively, eight lesions in the right hepatic lobe were noticed (Figure 3). A right hepatectomy was carried on in two stages because the future remanent liver was insufficient. The first stage corresponded to a wedge resection of the exophytic lesion since it was bleeding with a right portal vein ligation and alcoholization (Figure 4).