Abstract
An 8 year old girl presented with gross hepatomegaly, anaemia and pyrexia unresponsive to antibiotics. At laparotomy a cystic mass 19 cm in diameter was found arising from the liver. The cyst contained 2.4 litres of changed blood and an abscess cavity filled with thick pus was present in the cyst wall. Histological examination showed the appearances of a mesenchymal hamartoma of the liver, a rare diagnosis at this age. This case is unusual as mesenchymal hamartoma has not been previously reported presenting with pyrexia and anaemia as well as hepatomegaly.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dooley J. S., Li A. K., Scheuer P. J., Hobbs K. E., Sherlock S. A giant cystic mesenchymal hamartoma of the liver: diagnosis, management, and study of cyst fluid. Gastroenterology. 1983 Oct;85(4):958–961. [PubMed] [Google Scholar]
- EDMONDSON H. A. Differential diagnosis of tumors and tumor-like lesions of liver in infancy and childhood. AMA J Dis Child. 1956 Feb;91(2):168–186. doi: 10.1001/archpedi.1956.02060020170015. [DOI] [PubMed] [Google Scholar]
- Ishak K. G., Willis G. W., Cummins S. D., Bullock A. A. Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer. 1977 Jan;39(1):322–338. doi: 10.1002/1097-0142(197701)39:1<322::aid-cncr2820390149>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
- Katzman H. E. Mesenchymal harmatoma of the liver. J Pediatr Surg. 1972 Feb;7(1):71–71. doi: 10.1016/0022-3468(72)90412-5. [DOI] [PubMed] [Google Scholar]
- Stocker J. T., Ishak K. G. Mesenchymal hamartoma of the liver: report of 30 cases and review of the literature. Pediatr Pathol. 1983 Jul-Sep;1(3):245–267. doi: 10.3109/15513818309040663. [DOI] [PubMed] [Google Scholar]
- Wheeler D. A., Edmondson H. A. Cystadenoma with mesenchymal stroma (CMS) in the liver and bile ducts. A clinicopathologic study of 17 cases, 4 with malignant change. Cancer. 1985 Sep 15;56(6):1434–1445. doi: 10.1002/1097-0142(19850915)56:6<1434::aid-cncr2820560635>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]