Hepatic mesenchymal hamartoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain


Abdominal enlargement.

Patient Data

Age: 18 months
Gender: Male

Large abdominal wall opacity occupying the upper and right side of the abdomen displaced bowel loops to the left.


A large hepatic mass lesion with multiple cystic areas.

A large well-defined hepatic mass lesion is seen mainly occupying the left lobe with predominate cystic areas and enhancement of intervening soft tissue components. It is displacing bowel loops and the stomach.

A nasogastric tube is seen in place.

Case Discussion

Hepatic mesenchymal hamartoma is a rare pediatric hepatic tumor that occurs in the first two years of age. It usually presents with progressive abdominal enlargement. Radiologically, it appears as a complex mixed cystic and solid mass with dominant cystic components.

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