Hepatic adenoma is an unusual complication of pregnancy.
Most of these lesions are solitary and associated with hormonal contraceptives. We believe ours is the first case of successful resection of multifocal hepatic adenoma during pregnancy in a patient with no history of oral contraceptive use. These lesions are usually solitary and are rarely associated with malignant transformation. However, they may be associated with the fibrolamellar variant of hepatocellular carcinoma or, possibly, focal nodular hyperplasia. Diagnosis of hepatic adenoma during pregnancy is ominous, since rupture may result in massive intraperitoneal hemorrhage.