Abstract:
Introduction. Focal nodular hyperplasia of the liver is one of the most common benign liver new
growths. Most often the disease is manifested in women aged 30-40 years. The incidence ratio of women
to men is 10: 1. The emergence of this pathology is associated with the response of hepatocytes to the local
vasculature malformation. The indications for operative intervention are pain in the liver or progressive growth
of the tumor. The operation is also recommended, when it is impossible to conduct differential diagnosis with
other bulk liver diseases.
Case report. The boy of 13 years old was find out to have the formation of liver 81x65x68 mm by size, that
became the reason of hospitalization in our clinic. The patient didn’t complain about his state of health, the
temperature of body was normal. The results of laboratory research methods were concordant to age
norm. Existence of new growth in 6th and 7th hepatic segments projection was proofed by ultrasound and CT. We
found out, that the formation was hypervasculared, located partially out of hepatical parenchyma and had clear
contours with centrally localized dense fibrous tissue. Access was implemented by laparotomy high resection,
hepatic duadenal ligament was niped and the tumor was removed by atypical resection of liver. Hemostasis
is achieved by stitching, coagulation of the wound surface with an argon-plasma coagulator “PlasmaJet” and
powdering by “PerClot”. The postoperative period passed without any complications, the patient was discharged
in satisfactory condition on 7th day after surgery. Repeated inspection after 3 months has show satisfactory
child’s condition again. No data for relapse of the disease there.
Conclusion. The tactics of treating FNH of liver, that arose in childhood, presuppose surgical resection.
This is due to the trend towards intensive growth of tumor in conditions of child’s organism.
