Abstract
Objective: To elucidate diagnostic and therapeutic aspects about Hepatic Adenoma in order to make an early diagnosis avoiding complications that could be fatal. Detail of the case: Female patient, 31 years old, user of Combined Oral Contraceptive (AOC) for years, asymptomatic, underwent routine total Abdomen Ultrasound (USG), in which several hepatic nodules were found, the largest being a solid isoechoic nodule. the slightly hypoechoic, of regular contour, measuring 8.1 x 7.1 x 4.9 cm (T x W x AP) located inferiorly to the VI segment of the liver. As therapy, liver segmentectomy was performed with subsequent annual follow-up by Magnetic Resonance os the other residual nodules, which remain stable. Final considerations: Hepatic adenoma is a rare disease that can be diagnosed incidentally, in asymptomatic women, as well as causing pain in the right hypochondrium and trigeering intraperitoneal hemorrhage with subsequent death. Therefore, recognition and early therapy is of utmost importance in order to avoid this complication.