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Table of Contents
Vol. 25, No. 2, 2009
Issue release date: August 2009
Section title: Case Report
Fetal Diagn Ther 2009;25:196–202
(DOI:10.1159/000212057)

Mesenchymal Hamartoma of the Liver: A Benign Tumor with Deceptive Prognosis in the Perinatal Period

Case Report and Review of the Literature

Cornette J.a · Festen S.b · van den Hoonaard T.L.b · Steegers E.A.P.a
aDepartment of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, and bDepartment of Pediatric Surgery, Erasmus MC, Rotterdam, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 13, 2008
Accepted: July 10, 2008
Published online: April 09, 2009
Issue release date: August 2009

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT

Abstract

This article reports a case of perinatal mesenchymal hepatic hamartoma and reviews the literature on the subject. A fetus presented with polyhydramnios and a large multiloculated cystic abdominal mass at 33 weeks of gestation. The ultrasound appearance was most consistent with a mesenteric cyst. Prenatal drainage was considered, due to the size of the lesion. However, a conservative management was opted for. A female infant was born at 35 weeks by classical cesarean section. The immediate postnatal period was characterized by hemodynamic instability. Laparotomy revealed a pedunculated mesenchymal hamartoma of the liver, which could not completely be resected. The infant had an uneventful postoperative recovery and is doing well at 6 months of age. Hepatic mesenchymal hamartoma are rare benign tumors. Most cases are detected in early childhood. They usually present as a cystic rapidly growing abdominal mass. Prenatal diagnosis remains challenging. In children diagnosed in the perinatal period, the outcome seems worse and determined by the compressive effect of the mass.

© 2009 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 13, 2008
Accepted: July 10, 2008
Published online: April 09, 2009
Issue release date: August 2009

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT


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