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 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.
Department of Surgery, Division of Pediatric Surgery, University of Mississippi School of Medicine, Jackson, Mississippi, USA.
Michael W
MW
Morris
Barry
B
Berch
Tammy
T
Westmoreland
David E
DE
Sawaya
Christopher J
CJ
Blewett
D000236:Adenoma / Q000175:diagnosis / Q000601:surgery*; D001706:Biopsy / Q000379:methods; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed