Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive abdominal distension and palpable right upper quadrant (RUQ) mass. No history of trauma, fever, or jaundice. Symptoms include early satiety and mild discomfort. No evidence of acute abdomen or systemic inflammatory response.
Clinical Examination Findings
Abdominal examination reveals a non-tender, firm, smooth-surfaced mass occupying the RUQ, extending across the midline. No hepatosplenomegaly noted elsewhere. Bowel sounds are normal. No signs of ascites or caput medusae. Cardiovascular and respiratory exams are within normal limits.
Treatment Protocol
Surgical resection is the definitive treatment for symptomatic mesenchymal hamartoma. Preoperative imaging (MRI/CT) confirms cystic/solid composition. Post-operative management includes monitoring for biliary complications and ensuring adequate hepatic regeneration. Follow-up imaging scheduled to monitor for recurrence.