Case Study - Special Collection: Paediatric Radiology

Hepatic mesenchymal hamartoma: An uncommon but important paediatric diagnosis

Sheree C. Gray, Jacobus A. Pienaar, Zelia Sofianos, Jacob Varghese, Ilonka Warnich
South African Journal of Radiology | Vol 24, No 1 | a1891 | DOI: https://doi.org/10.4102/sajr.v24i1.1891 | © 2020 Sheree C. Gray, Jacobus A. Pienaar, Zelia Sofianos, Jacob Varghese, Ilonka Warnich | This work is licensed under CC Attribution 4.0
Submitted: 19 April 2020 | Published: 27 July 2020

About the author(s)

Sheree C. Gray, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Klerksdorp, South Africa
Jacobus A. Pienaar, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Klerksdorp, South Africa
Zelia Sofianos, Department of Radiology, Faculty of Radiology, University of the Witwatersrand, Klerksdorp, South Africa
Jacob Varghese, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Johannesburg, South Africa
Ilonka Warnich, Department of Radiology, Faculty of Radiology, University of the Witwatersrand, Johannesburg, South Africa

Abstract

Hepatic mesenchymal hamartoma is a rare hepatic tumour seen in the paediatric population. Although this entity has a variable imaging appearance, it has a favourable prognosis if diagnosed and managed correctly. This case presents the ultrasound and computed tomography findings of an 11-month-old patient who presented with a history of progressive abdominal distension and an elevated alfa fetoprotein level on biochemistry. The case describes how a confident perioperative diagnosis could be made on the basis of characteristic imaging features.

Keywords

Hepatic mesenchymal hamartoma; Paediatric population; Cystic liver masses; Hepatic tumours; Paediatric alfa fetoprotein levels; Computed tomography; Ultrasound

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