Mesenchymal hamartoma of the liver in children

Mesenchymal hamartoma of the liver is a rare benign tumor. Its clinical symptoms are non-specific. Diagnosis is based on a number of factors. However confirmation remains histological. A review of 5 cases from the Fattouma Bourguiba pediatric surgery department in Monastir over a 16-year period revealed the clinical radiological and anatomopathological features of this tumor. Five children aged 1 day 5 months 12 months and 16 months respectively with a sex ratio = 4/1 presented with abdominal distension. An antenatal finding was noted in 1 patient. AlphaFP was elevated in 3 patients. Localization in the right lobe was predominant. All our patients underwent surgical treatment: two infants had a right hepatectomy and 3 others had an incomplete cyst resection. Our patients are in good general condition with an average follow-up of 4 years. No recurrence or malignant transformation was noted.