Pediatric Radiology

, 39:62 | Cite as

Torsed pedunculated hepatic hamartoma

  • Ignacio Vázquez-LimaEmail author
  • José L. Vázquez
  • Marta Gallego
  • Rebeca Fernández
  • Pilar Fernández
Case Report


We report a 9-year-old boy with a 6-h history of acute abdominal pain due to torsion of a pedunculated hepatic mesenchymal hamartoma. The lesion was seen, on US and CT, to connect to the liver through a pedicle. Mesenchymal hepatic hamartomas are unusual tumours that may be pedunculated, and this is a unique case complicated by torsion. The radiological and pathological findings, differential diagnosis, and clinical course are discussed.


Mesenchymal liver hamartoma Pedunculated Torsion Abdominal pain 


  1. 1.
    Lennington WJ, Gray GF Jr, Page DL (1993) Mesenchymal hamartoma of liver. A regional ischemic lesion of a sequestered lobe. Am J Dis Child 147:193–196PubMedGoogle Scholar
  2. 2.
    Stringer MD, Alizai NK (2005) Mesenchymal hamartoma of the liver: a systematic review. J Pediatr Surg 40:1681–1690PubMedCrossRefGoogle Scholar
  3. 3.
    Ros PR, Goodman ZD, Ishak KG et al (1986) Mesenchymal hamartoma of the liver: radiologic-pathologic correlation. Radiology 158:619–624PubMedGoogle Scholar
  4. 4.
    George JC, Cohen MD, Tarver RD et al (1994) Ruptured cystic mesenchymal hamartoma: an unusual case of neonatal ascites. Pediatr Radiol 24:304–305PubMedCrossRefGoogle Scholar
  5. 5.
    Salisbury JR, Darby AJ, Portmann BC (1986) Mesenchymal hamartoma of the liver – report of an unusual case. Postgrad Med J 62:757–760PubMedCrossRefGoogle Scholar
  6. 6.
    Baer JW, Abiri M (1981) Effect of pedunculated liver masses on the colon. Am J Gastroenterol 75:233–240PubMedGoogle Scholar
  7. 7.
    Yesildag E, Yeker Y, Erdogan E et al (2004) Extrathoracic liver hamartoma. Indian J Pediatr 71:265–267PubMedCrossRefGoogle Scholar
  8. 8.
    Kim SH, Kim WS, Cheon JE et al (2007) Radiological spectrum of hepatic mesenchymal hamartoma in children. Korean J Radiol 8:498–505PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Ignacio Vázquez-Lima
    • 1
    Email author
  • José L. Vázquez
    • 1
  • Marta Gallego
    • 1
  • Rebeca Fernández
    • 2
  • Pilar Fernández
    • 3
  1. 1.Department of RadiologyComplejo Hospitalario Universitario de VigoVigoSpain
  2. 2.Department of PathologyComplejo Hospitalario Universitario de VigoVigoSpain
  3. 3.Department of Paediatric SurgeryComplejo Hospitalario Universitario de VigoVigoSpain

Personalised recommendations