Giant Hepatocellular Adenoma in a Young Male: Report of an Extremely Rare Case

Hepatocellular Adenoma (HCA) is a rare primary benign hepatic tumour, seen in young and middle- aged women and associated with the use of Oral Contraceptives (OCP). Though generally asymptomatic, large hepatic adenomas are complicated by rupture and spontaneous bleeding with increased risk in tumours larger than 7cm. The presentation is varied and these tumours are extremely rare in males affecting mainly females with the highest prevalence in reproductive age and located in the right hepatic lobe with greater frequency. This case was unusual as it occurred in a male patient and in the left lobe of liver which is extremely rare. We report such a rare case in a 30-year-old male with no predisposing factor who presented with upper abdominal pain and was diagnosed to have a giant HCA, inflammatory subtype (HA-1) measuring 7.5 x 8 x 2.5 cm by histopathological confirmation of resection specimen.