간선종은 피임약을 복용하는 여성에게 호발하는 것으로 알려져 있으나, 본 예에서는 피임약을 복용하지 않은 젊은 가임기 여성에서 큰 간종괴로 조직검사 후 혈액담즙증 및 담낭내 혈종이 발생하여 간동맥 색전술을 시행하고, 조직검사상 진단된 간선종을 수술한 1예를 보고하는 바이다.
Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation occurs. A percutaneous liver biopsy is relatively safe and effective, but carries the risk of mild complications, such as pain, temporary hypotension, and bleeding, and severe complications, such as intraperitoneal bleeding, peritonitis, pneumothorax, hemothorax, other organ injury, and sepsis. We treated a 33-year-old woman with hemobilia and gallbladder hematoma following a sono-guided percutaneous liver biopsy. Complete quadrantectomy with anterior lobe resection was done after angiography and embolization of the hepatic artery. (Korean J Med 2011;80:323-327)