Alhebshi Alhasan H, Kabbarah Ammar, Aljiffry Murad
Department of surgery, International Medical Center, Jeddah, Saudi Arabia.
Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Case Rep Surg. 2025 Apr 30;2025:1929050. doi: 10.1155/cris/1929050. eCollection 2025.
Benign liver tumors are infrequently observed in the pediatric age group, with an incidence reported at 0.7 per million population annually. Among these tumors, mesenchymal hamartoma constitutes 18%-29%. Imaging studies commonly reveal a well-marginated, solitary mass, often measuring up to 30 cm. The mass, primarily located in the right liver lobe (75% of cases), may exhibit a pedunculated structure. We present a case of a 1-year-and-9-month-old boy diagnosed with hepatic mesenchymal hamartoma. A contrast-enhanced computed tomography of the abdomen and magnetic resonance imaging (MRI) were performed and demonstrated a large multiloculated septated liver lesion measuring approximately 13.6 × 17.7 cm, demonstrating multiple partially thickened internal septations. The procedure was done for the patient in the form of an extended right hepatectomy with segment 4A and cholecystectomy.
良性肝肿瘤在儿童年龄组中很少见，据报道每年每百万人口中的发病率为0.7。在这些肿瘤中，间叶性错构瘤占18%-29%。影像学研究通常显示边界清晰的孤立性肿块，大小通常可达30厘米。该肿块主要位于右肝叶（75%的病例），可能呈有蒂结构。我们报告一例1岁9个月大的男孩被诊断为肝间叶性错构瘤。进行了腹部增强计算机断层扫描和磁共振成像（MRI），显示一个大的多房分隔性肝脏病变，大小约为13.6×17.7厘米，有多个部分增厚的内部间隔。对该患者实施了扩大右肝切除术并切除第4A段及胆囊。
