Resection of a giant hepatic adenoma in an eight-year-old girl

Hepatic adenomas are benign tumors typically diagnosed in women of reproductive age, however, these tumors occur in the pediatric population although rare. We present the case of a giant hepatic adenoma in an 8-year-old female without established risk factors with progressive abdominal pain, and po...

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Bibliographic Details
Published in:The American surgeon 2013-09, Vol.79 (9), p.889-890
Main Authors: Morris, Michael W, Berch, Barry, Westmoreland, Tammy, Sawaya, David E, Blewett, Christopher J
Format: Article
Language:English
Subjects:
Abdomen
Adenoma - diagnosis
Adenoma - surgery
Biopsy - methods
Child
Disease
Family medical history
Female
Follow-Up Studies
Hemorrhage
Hepatectomy - methods
Humans
Laparoscopy - methods
Liver - diagnostic imaging
Liver - pathology
Liver Neoplasms - diagnosis
Liver Neoplasms - surgery
Magnetic Resonance Imaging
Medical imaging
Medical treatment
NMR
Nuclear magnetic resonance
Pain
Patients
Pediatrics
Severity of Illness Index
Tomography, X-Ray Computed
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Summary:Hepatic adenomas are benign tumors typically diagnosed in women of reproductive age, however, these tumors occur in the pediatric population although rare. We present the case of a giant hepatic adenoma in an 8-year-old female without established risk factors with progressive abdominal pain, and po intolerance, biliary obstruction, anemia, and fever. Right trisegmentectomy afforded extirpation of the 16 × 14.5 × 8.5 cm mass. The postoperative course was complicated by transient encephalopathy and a bile leak which resolved with appropriate care. The patient is well over 1 year from resection. She demonstrates age appropriate mental and physical function without disease recurrence or complication.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481307900922