Cryptogenic Cirrhosis and Hepatopulmonary Syndrome in a Boy with Hepatic Hemangioma in Botswana: A Case Report and Review of the Literature

Author:

Banda Francis Msume1ORCID,Slone Jeremy S.2,Anderson Alan2,Beretta Marisa3,Walabh Priya3,Loveland Jerome4,Nayler Simon5,Takawira Farirai Fani6

Affiliation:

1. Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana

2. Baylor College of Medicine, Texas Children’s Cancer and Hematology Centers, Houston, TX, USA

3. Paediatric Liver Transplant Unit, Wits University Donald Gordon Medical Centre, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa

4. Department of Paediatric Surgery, School of Clinical Medicine, University of Witwatersrand, Johannesburg, South Africa

5. Wits University Donald Gordon Medical Centre, Drs Gritzman & Thatcher Inc., Johannesburg, South Africa

6. Department of Paediatrics, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

Abstract

Hepatic hemangiomas are considered to be the most common benign tumors of the liver. They are often found incidentally while investigating for other causes of liver disease. Hemangiomas that are less than 10 cm are not expected to cause any problems. Typically, they do not enlarge and, apart from regular follow-up, no definitive treatment is indicated. This is a posthumous case report of a male child with a medium-sized hemangioma from infancy, complicated by cryptogenic cirrhosis and hepatopulmonary syndrome. It demonstrates the challenges of managing a child with such complicated conditions in a resource-limited setting.

Publisher

Hindawi Limited

Subject

General Medicine

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