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).