Hepatic adenomatosis in a young woman with glucose intolerance

Background: A 30-year-old white woman presented to our department in December 2004 for clinical evaluation of episodic, severe, right upper quadrant pain. She was otherwise healthy and her only medication was a daily oral contraceptive pill. Her past medical history was notable for gestational diabetes and fasting hyperglycemia since her pregnancy. Family history was significant for a younger sister with diabetes mellitus, but no known family history of liver disease. Investigations: Physical examination, laboratory investigations, multiphasic CT scan of the abdomen, exploratory laparotomy with biopsies. Diagnosis: Hepatic adenomatosis. Management: Subsegmental hepatic resection followed by interval, long-term follow-up with hepatic imaging.