Mesenchymal Hamartoma of the Liver in a Thai Male Infant: A Case Report

Abstract

Mesenchymal Hamartoma of the Liver in a Thai Male Infant:  A Case Report

Monawat        Ngerncham     MD, MSPH (Epidemiology)*

Tawatchai      Suthikoon        MD**

* Department of Surgery, BMA Medical College and Vajira Hospital

**Department of Pathology, BMA Medical College and Vajira Hospital

Benign lesions of the liver are uncommon disease in pediatric age group.  Most of them are peculiar to this age, however, delayed diagnosis and treatment may occur as a result of lack of awareness of the conditions. Complete removal of the mass when possible is the treatment of choice, though internal drainage may be an option for cystic lesions in patients unfit for major operation.  The prognosis is good whenever complete extirpation is feasible.  We herein present a case report of a 10-month-old male infant suffered from mesenchymal hamartoma of the liver, the second most common benign hepatic tumor, yet not familiar to physicians in other fields.  The mass occupied almost the entire right lobe of the liver and was completely enucleated with rather uneventful postoperative course.  We also reviewed the current management of abdominal masses; particularly, nonmalignant tumors of the liver

Key word: mesenchymal hamartoma, pediatric liver masses, hepatic, hepatic resection

Vajira Med J 2003 ; 47 : 139 - 146