Korean J Pediatr Gastroenterol Nutr.
2001 Apr;4(1):113-119.
A Case of Mesenchymal Hamartoma Associated with Biliary Atresia
- Affiliations
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- 1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Abstract
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Mesenchymal hamartoma is an uncommon benign tumor usually found in childhood, especially
during the first two years of life. The tumor consists of a solid component and multiple cyst. Without
treatment, these lesions can grow to an enormous size. We experienced a case of mesenchymal
hamartoma which was found incidentally, in a 8 month old girl who had ascending cholangitis
after Kasai operation due to biliary atresia. On abdominal ultrasonography and CT, there was a
well-defined homogeneous small echogenic mass in the right lobe of the liver with cirrhosis. Five
months later, she underwent liver transplantation. Gross picture of the resected liver showed a dark
greenish pigmented solid mass in the right lobe of the cirrhotic liver. Microscopic findings showed
reactive mesenchyma and epithelial overgrowth.