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Case Reports in Pediatrics
Volume 2017, Article ID 7940365, 5 pages
https://doi.org/10.1155/2017/7940365
Case Report

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

1Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana
2Baylor College of Medicine, Texas Children’s Cancer and Hematology Centers, Houston, TX, USA
3Paediatric Liver Transplant Unit, Wits University Donald Gordon Medical Centre, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa
4Department of Paediatric Surgery, School of Clinical Medicine, University of Witwatersrand, Johannesburg, South Africa
5Wits University Donald Gordon Medical Centre, Drs Gritzman & Thatcher Inc., Johannesburg, South Africa
6Department of Paediatrics, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

Correspondence should be addressed to Francis Msume Banda; ku.oc.oohay@adnabmf

Received 24 June 2017; Revised 9 October 2017; Accepted 31 October 2017; Published 19 December 2017

Academic Editor: Roland Broadbent

Copyright © 2017 Francis Msume Banda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.