Resection of a Giant Hepatic Adenoma in an Eight-year-old Girl

Author： Morris Michael W. Berch Barry Westmoreland Tammy Sawaya David E. Blewett Christopher J.

Publisher： Southeastern Surgical Congress

ISSN： 0003-1348

Source： The American Surgeon, Vol.79, Iss.9, 2013-09, pp. : 889-890

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Abstract

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.