Pedunculated focal nodular hyperplasia of the liver in a healthy child born following in vitro fertilization: a case report and review of the literature

被引:1
作者
Moayerifar, Mani [1 ]
Samidoust, Pirouz [1 ]
Gholipour, Mahboobeh [2 ]
Moayerifar, Maziar [3 ]
Zamani, Athar [4 ]
Poorheravi, Niloofar [1 ]
Poursadrolah, Selvana [5 ]
机构
[1] Guilan Univ Med Sci, Razi Hosp, Razi Clin Res Dev Unit, Rasht, Iran
[2] Guilan Univ Med Sci, Heshmat Hosp, Hlth Heart Res Ctr, Sch Med,Dept Cardiol, Rasht, Iran
[3] Guilan Univ Med Sci, Razi Hosp, Dept Vasc Surg, Rasht, Iran
[4] Guilan Univ Med Sci, Dept Pathol & Lab Med, Rasht, Iran
[5] Guilan Univ Med Sci, Student Res Comm, Sch Med, Rasht, Iran
关键词
Focal nodular hyperplasia; Pedunculated; Exophytic; Projected; In vitro fertilization; Child;
D O I
10.1186/s13256-024-04512-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Focal nodular hyperplasia is a common nonmalignant liver mass. This nonvascular lesion is an uncommon mass in children, especially those with no predisposing factors, namely radiation, chemotherapy, and hematopoietic stem cell therapy. Exophytic growth of the lesion further than the liver margins is not common and can complicate the diagnosis of the lesion. This report observes a focal nodular hyperplasia as a pedunculated lesion in a healthy child.Case presentation We describe a 9-year-old healthy Persian child who was born following in vitro fertilization complaining of abdominal pain lasting for months and palpitation. Employing ultrasound and computed tomography, a mass was detected in the right upper quadrant compatible with focal nodular hyperplasia imaging features. The child underwent surgery and the mass was resected.Conclusion Diagnosing focal nodular hyperplasia, especially pedunculated form can be challenging, although magnetic resonance imaging with scintigraphy is nearly 100% sensitive and specific. Thus, a biopsy may be needed to rule out malignancies in some cases. Deterministic treatment in patients with suspicious mass, remarkable growth of lesion in serial examination, and persistent symptoms, such as pain, is resection, which can be done open or laparoscopic.
引用
收藏
页数:7
相关论文
共 20 条
  • [1] Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
    Akaguma, Ai
    Ishii, Takamichi
    Uchida, Yoichiro
    Chigusa, Yoshitsugu
    Ueda, Yusuke
    Mandai, Masaki
    Mogami, Haruta
    [J]. OXFORD MEDICAL CASE REPORTS, 2023, 2023 (06): : 211 - 214
  • [2] Hepatic focal nodular hyperplasia in a five-year-old healthy boy: A case report and literature review
    Alfayez, Adel
    Almodhaiberi, Helayel
    Al Hussaini, Hussa
    Alhasan, Ibrahim
    Algarni, Abdullah
    Takrouni, Tharaa
    [J]. INTERNATIONAL JOURNAL OF HEPATOBILIARY AND PANCREATIC DISEASES, 2021, 11
  • [3] Benign nodular hyperplasia of the liver-pedunculated form: diagnostic contributions of ultrasonography and consideration of exophytic liver tumors
    Badea, Radu
    Meszaros, Magdalena
    AL Hajjar, Nadim
    Rusu, Ioana
    Chiorean, Liliana
    [J]. JOURNAL OF MEDICAL ULTRASONICS, 2015, 42 (01) : 97 - 102
  • [4] Pedunculated hepatic focal nodular hyperplasia: A case report and review of the literature
    Ben Ismail, Imen
    Zenaidi, Hakim
    Jouini, Raja
    Rebii, Saber
    Zoghlami, Ayoub
    [J]. CLINICAL CASE REPORTS, 2021, 9 (06):
  • [5] Byrnes Valerie, 2004, Ann Hepatol, V3, P35
  • [6] Differentiation of focal nodular hyperplasia and hepatocellular adenoma by contrast-enhanced ultrasound
    Dietrich, CF
    Schuessler, G
    Trojan, J
    Fellbaum, C
    Ignee, A
    [J]. BRITISH JOURNAL OF RADIOLOGY, 2005, 78 (932) : 704 - 707
  • [7] Hamad S, 2020, Focal Nodular Hyperplasia
  • [8] Clinical Features of Focal Nodular Hyperplasia of the Liver in Children
    Ji, Yi
    Chen, Siyuan
    Xiang, Bo
    Wen, Tianfu
    Yang, Jiaying
    Zhong, Lin
    Li, Fuyu
    Li, Li
    [J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2016, 62 (06) : 813 - 818
  • [9] Atypical focal nodular hyperplasia of the liver
    Khan, Muhammad Rizwan
    Saleem, Taimur
    Ul Haq, Tanveer
    Aftab, Kanwal
    [J]. HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL, 2011, 10 (01) : 104 - 106
  • [10] Ruptured focal nodular hyperplasia observed during follow-up: a case report
    Masahiko Kinoshita
    Shigekazu Takemura
    Shogo Tanaka
    Genya Hamano
    Tokuji Ito
    Takanori Aota
    Masaki Koda
    Masahiko Ohsawa
    Shoji Kubo
    [J]. Surgical Case Reports, 3 (1)