A 24 year old woman,who was otherwise in excellent health,presented at the Emergency Department complaining of abdominal pain.Her past medical history was notable only for oral contraceptives.A peritoneal tap disclosed gross blood so emergency open laparotomy (abdominal exploration)was performed.A bleeding mass in the liver (L)was found,resected,and good haemostasis was obtained.The patient recovered without further incident.A representative section of the resected mass is shown in the accompanying photomicrograph.Which one of the following is the best diagnosis?

Question

Quizplus · Accepted Answer

Both the history in the vignette and the photomicrograph should lead you to the diagnosis of haemangiomACavernous haemangiomas are a tumour of vascular tissue,which commonly occur in the skin and liver.In the liver,there is an association with oral contraceptive usage,and the haemangiomas can sometimes spontaneously rupture,requiring surgery.Otherwise,they are completely benign.

A 24 Year Old Woman,who Was Otherwise in Excellent Health,presented