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Case Reports
. 2024 Mar 13;12(3):e8562.
doi: 10.1002/ccr3.8562. eCollection 2024 Mar.

Mesenchymal hepatic hamartoma: A rare case of severe respiratory distress in a neonate

Kareem Omran  1 , Jayasheela Kannan  2 , Nisha Soares  2 , Sameh Ali  2 , Wissam Jamal Al Tamr  2
Affiliations
Case Reports

Mesenchymal hepatic hamartoma: A rare case of severe respiratory distress in a neonate

Kareem Omran et al. Clin Case Rep. .

Abstract

It is critical to consider intra-abdominal pathology in cases of neonatal respiratory distress. Accurate and prompt diagnosis via computed tomography is lifesaving. We have highlighted the effectiveness of rapid surgical intervention as curative.

Keywords: gastroenterology and hepatology; general surgery; oncology; pediatrics and adolescent medicine; respiratory medicine.

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Conflict of interest statement

We disclose no conflict of interest, any sources of support or external funding.

Figures

FIGURE 1
FIGURE 1
Presurgical abdominal ultrasound showing multiple cysts separated by setae was queried as multicystic dysplastic kidneys.
FIGURE 2
FIGURE 2
Coronal and sagittal computed tomography imaging showing a large cyst lesion of unknown origin, with a smooth outline. Thin septa are seen extending within the lesion. Attenuation values suggest serous fluid, being approximately +20 HU. No signs of hemorrhage or calcification seen.
FIGURE 3
FIGURE 3
The large hepatic mass excised from the patient's right lobe of the liver. It measured greater than 15 cm in size and comprised of both solid and multi cystic components.
FIGURE 4
FIGURE 4
Histopathology sample showing myxomatous connective tissue containing loose mesenchymal tissue with interspersed branched and malformed bile ducts. Multiple cysts with no epithelial lining and patches of extramedullary hematopoiesis are noted.
See this image and copyright information in PMC

References

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