Associated benign liver tumors in idiopathic granulomatous hepatitis: A case report

Abstract

We report a unique association of ruptured hepatocellular adenoma, focal nodular hyperplasia and granulomatous hepatitis in a young woman taking oral contraceptives. Diffuse granulomatous hepatitis was found in the liver parenchyma, which was associated with a large granulomatous mass of the left lobe and loco-regional granulomatous lymphadenitis. We cannot give a full explanation of the situation, which represented a challenge in the diagnosis and in the treatment of this patient.

Hepatic granulomas: histological and molecular pathological approach to differential diagnosis–a study of 442 cases

“…In a proportion of these cases, incomplete clinical data and medication might play a role and a more intense search for infectious agents and the precise knowledge of clinical conditions might elucidate the diagnosis. Other cases might belong to the group of idiopathic granulomatous hepatitis, a condition of granulomatous hepatitis without known aetiology, which often occurs in young adults (17–19).…”

Hepatocellular Adenomas Associated with Hepatic Granulomas: Experience in Five Cases

“…Three papers in the English literature and one in the French literature have reported the coexistence of HCA and liver granulomas in the past 30 years [5, 6, 7]. Patient characteristics are summarized in table 1 (upper part).…”