Unusual mesenchymal hamartoma with uncommon biliary anatomy: Case report and literature review

Mehdi Tahiri, Noura Alhassan, Rita Chaouni, Alana Beres, Damian Maxwell, Pramod Puligandla

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of a mesenchymal hamartoma of the liver in a twenty-month-old girl. The patient initially consulted her pediatrician, and was then referred to the emergency room for evaluation of a palpable upper midline abdominal mass. The initial referral questioned splenomegaly. Radiologic workup consisted of an abdominal ultrasound, followed by a magnetic resonance imaging (MRI) which showed a left hepatic lobe mass measuring 10 × 7 × 12 cm. The patient eventually underwent a left hepatectomy for excision of the mass. Postoperative course was complicated by a biliary leak secondary to an anatomic variant. The goal of this case report is to review the main features of liver hamartomas, and to discuss the possible anatomical variants of the biliary system that can be encountered in children.

Original languageEnglish (US)
Pages (from-to)43-45
Number of pages3
JournalJournal of Pediatric Surgery Case Reports
Volume2
Issue number1
DOIs
StatePublished - Jan 2014
Externally publishedYes

Keywords

  • Anatomic bile duct variant
  • Bile leak
  • Liver hamartoma
  • Liver mass

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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