Hilar Fibropolycystic Liver Disease of Unknown Etiology: A Revelation from the Explant Liver.

Hilar fibropolycystic liver disease ductal plate malformation explant pathology liver transplantation

Journal

Journal of pediatric genetics
ISSN: 2146-4596
Titre abrégé: J Pediatr Genet
Pays: Germany
ID NLM: 101589859

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 08 07 2020
accepted: 13 08 2020
entrez: 30 6 2022
pubmed: 28 9 2020
medline: 28 9 2020
Statut: epublish

Résumé

Fibropolycystic diseases of the liver comprise a spectrum of disorders affecting bile ducts of various sizes and arise due to an underlying ductal plate malformation (DPM). We encountered a previously unreported variant of DPM, the hilar fibropolycystic disease which we diagnosed in the explant liver. A 2-year-old boy was referred for liver transplantation with a diagnosis of biliary atresia (BA) and failed Kasai portoenterostomy (KPE). He had cirrhosis with portal hypertension along with synthetic failure indicated by coagulopathy and hypoalbuminemia. The child underwent liver transplant successfully. The explant liver had fibropolycystic disease confined to the perihilar liver and hilum. No pathogenic mutation was detected by whole exome sequencing. Fibropolycystic liver disease may represent a peculiar anatomical variant, which can be diagnosed by careful pathological examination of the explant liver. The neonatal presentation of hilar fibropolycystic liver disease can be misdiagnosed as BA.

Identifiants

pubmed: 35769965
doi: 10.1055/s-0040-1716829
pii: 2000110
pmc: PMC9236736
doi:

Types de publication

Case Reports

Langues

eng

Pagination

165-170

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest None declared.

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Auteurs

Jagadeesh Menon (J)

Department of Pediatric Gastroenterology & Hepatology, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Mukul Vij (M)

Department of Histopathology, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Naresh Shanmugam (N)

Department of Pediatric Gastroenterology & Hepatology, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Abdul Hakeem (A)

Department of Hepatobiliary Surgery & Liver Transplantation, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Mettu Srinivas Reddy (MS)

Department of Hepatobiliary Surgery & Liver Transplantation, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Ilankumaran Kaliamoorthy (I)

Department of Liver Anesthesia and Intensive Care, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Mohamed Rela (M)

Department of Hepatobiliary Surgery & Liver Transplantation, Dr. Rela Institute & Medical Centre, Chennai, Tamil Nadu, India.

Classifications MeSH