Hepatic mesenchymal hamartoma mimicking hemangioma on multiple-phase gadolinium-enhanced MRI.
Mesenchymal Hamartoma [MH] is a cystic benign liver mass occurring in children. Diagnostic confusion with hepatoblastoma may arise when alpha-feto-protein is elevated, and with hemangioendothelioma when imaging shows centripetal filling. We demonstrate one such case with progressive centripetal enhancement of a liver mass with Gadolinium enhanced multiple phase gradient-echo MRI, in a child with raised alpha-feto protein.
Andronikou
Savvas
S
Department of Radiology, Stellenbosch University, John Radcliffe Hospital, Oxford. docsav@mweb.co.za
Soin
Susanne
S
Nafoos
Omar
O
Platt
Kaye
K
Lakhoo
Kokila
K
D003937:Diagnosis, Differential; D005682:Gadolinium; D006222:Hamartoma / Q000175:diagnosis*; D006391:Hemangioma / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008107:Liver Diseases / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008648:Mesoderm / Q000473:pathology*; D000509:alpha-Fetoproteins / Q000032:analysis
D000509:alpha-Fetoproteins; D005682:Gadolinium