Liver cell adenoma is mostly known as a tumour affecting women with long-term use of contraceptive hormones. Its incidence in men is very low, and particularly few cases of acute complications are related in the literature. We report the case of a 44-year-old man presenting with a life-threatening rupture of a hepatic tumour, successfully treated in emergency with primary endovascular embolization, followed by hepatectomy, once stabilized. The pathological findings were fortunately consistent with the diagnosis of liver-cell adenoma. To our knowledge, it is the first case reported in a man treated by a combined interventional radiological and surgical approach.