# Spontaneous Rupture of Hepatocellular Adenoma During Pregnancy Complicated by Intrauterine Fetal Death

## TL;DR

A rare case of a liver tumor rupturing during pregnancy caused severe bleeding and fetal death, highlighting the risks of hepatocellular adenomas in pregnant women.

## Contribution

This case report highlights the rare but life-threatening complication of hepatocellular adenoma rupture during pregnancy.

## Key findings

- Hepatocellular adenoma rupture during pregnancy can lead to maternal hemorrhagic shock and intrauterine fetal death.
- Estrogen may contribute to tumor growth, making pregnancy a high-risk period for rupture.
- Prompt investigation and treatment are essential in such cases.

## Abstract

A very rare cause of intrauterine fetal death through maternal hemorrhagic shock is the rupture of a hepatocellular adenoma (HCA) during pregnancy. Estrogens appear to contribute to the growth of the mass, which makes pregnancy a vulnerable period for an emergency associated with such masses. Rupture of HCA is potentially life-threatening and should lead to prompt investigation and treatment. We present a case of a primigravida, at term, admitted hemodynamically unstable from hemorrhagic shock due to a rupture of a hepatocellular adenoma.