Giant Mesenchymal Hepatic Hamartomas With Adrenal Involvement Precipitating Respiratory Failure: A Myxomatous Mystery in a Three-Month-Old

The combination of placental mesenchymal dysplasia and hepatic mesenchymal hamartomas is an extremely rare finding. We present the case of a three-month-old female born at 35 weeks gestation with a history of placental mesenchymal dysplasia who presented with non-bilious, non-bloody emesis, and epis...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37476
Main Authors: Yasback, Ali, Ulhaque, Abid, Chandra, Tushar
Format: Article
Language:English
Subjects:
Abdomen
Adrenal glands
Biopsy
Case reports
Cysts
Hemangioma
Liver transplants
Magnetic resonance imaging
Neuroblastoma
Neuroendocrine tumors
Oncology
Pathology
Pediatrics
Radiology
Respiratory failure
Tomography
Ultrasonic imaging
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Summary:The combination of placental mesenchymal dysplasia and hepatic mesenchymal hamartomas is an extremely rare finding. We present the case of a three-month-old female born at 35 weeks gestation with a history of placental mesenchymal dysplasia who presented with non-bilious, non-bloody emesis, and episodes of respiratory distress due to multiple enlarging abdominal cystic lesions. The patient's presentation was unique due to both liver and adrenal solid and cystic lesions. After extensive imaging and multiple biopsies, expert interpretation of biopsy tissue revealed hepatic mesenchymal hamartoma within the liver and the adrenal gland. To our knowledge, this is one of the few documented cases of unresectable hepatic mesenchymal hamartomas with adrenal involvement successfully undergoing a whole liver transplant.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.37476