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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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Published in: | Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37476 |
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description | 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. |
doi_str_mv | 10.7759/cureus.37476 |
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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.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.37476</identifier><identifier>PMID: 37187645</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>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</subject><ispartof>Curēus (Palo Alto, CA), 2023-04, Vol.15 (4), p.e37476</ispartof><rights>Copyright © 2023, Yasback et al.</rights><rights>Copyright © 2023, Yasback et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). 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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.</description><subject>Abdomen</subject><subject>Adrenal glands</subject><subject>Biopsy</subject><subject>Case reports</subject><subject>Cysts</subject><subject>Hemangioma</subject><subject>Liver transplants</subject><subject>Magnetic resonance imaging</subject><subject>Neuroblastoma</subject><subject>Neuroendocrine tumors</subject><subject>Oncology</subject><subject>Pathology</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Respiratory failure</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpVUcFO3DAQtapWgCg3zpWlXhtqJxvb6aVaIWCRWIEQVY_WrD0hRkmc2s6q-wv96rpdiuhpRvPePM_zI-SUszMp6-azmQPO8aySCynekKOSC1UorhZvX_WH5CTGJ8YYZ7Jkkh2Qw0pyJcWiPiK_rhyMia4x4mi63QA9XeEEyRm6ggFC8gNE-t2lji5twDHj1-PW91scMO_dBTRucikvjI_0HuPkAiQfdvQSXJ-P-0KXdL37mVWSn2NuY8KMupECfegCYrH2Y-qK296-J-9a6COePNdj8u3y4uF8VdzcXl2fL28KUwqZio3hTc1ru7FgYAN12TCEiqOqbVuBRNU0sragANECb1orhOSlzcbRtnlcHZOve91p3gxoTfYRoNdTcNnvTntw-n9kdJ1-9FvNGZdC1iIrfHxWCP7HjDHpJz-H_DdRl6rkpailajLr055lgo8xYPvyBGf6T3p6n57-m16mf3h91gv5X1bVb-EMm3Y</recordid><startdate>20230412</startdate><enddate>20230412</enddate><creator>Yasback, Ali</creator><creator>Ulhaque, Abid</creator><creator>Chandra, Tushar</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope></search><sort><creationdate>20230412</creationdate><title>Giant Mesenchymal Hepatic Hamartomas With Adrenal Involvement Precipitating Respiratory Failure: A Myxomatous Mystery in a Three-Month-Old</title><author>Yasback, Ali ; 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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 |
title | Giant Mesenchymal Hepatic Hamartomas With Adrenal Involvement Precipitating Respiratory Failure: A Myxomatous Mystery in a Three-Month-Old |
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