Snapshot A 27-year-old woman presents to the emergency department for worsening right upper quadrant abdominal pain. She states that her symptoms have slowly progressed since yesterday. On physical exam, you note an athletic female with well-developed muscles. Her current medications include only oral contraceptives and she is generally healthy. Suddenly, the patient's blood pressure drops to 90/30 mmHg and her pulse is 145/min. Introduction Overview login to view 6 more bullets Epidemiology Demographic login to view 1 more bullet Risk factors login to view 4 more bullets PRESENTATION Symptoms login to view 3 more bullets Physical examination login to view 2 more bullets Imaging Abdominal ultrasound login to view 5 more bullets CT abdomen with and without contrast login to view 4 more bullets MRI of the abdomen with and without contrast login to view 4 more bullets Studies Histopathology login to view 4 more bullets Differential Hepatocellular carcinoma login to view 3 more bullets Treatment Lifestyle login to view 4 more bullets Surgical login to view 3 more bullets Complications Malignant transformation Spontaneous rupture and hemorrhage