Giant pedunculated hepatic hemangioma necessitating surgical excision in a neonate: A case report
DOI:
https://doi.org/10.52783/jns.v9.531Keywords:
Pedunculated hemangioma , Pediatric liver tumors , Infantile hepatic hemangiomaAbstract
Background: Hepatic hemangioma (HH) is the most common hepatic tumor in small infants. It rarely presents during the neonatal period. Fetal giant hepatic hemangiomas tend to result in hydrops fetalis and cardiac failure due to cardiovascular overload. The purpose of this case report is to demonstrate the importance of pre and postnatal diagnosis of liver hemangioma with unusual presentation in neonatal life with huge mass causing respiratory compromise, and bowel compression.
Case Presentation: We present a rare case of giant pedunculated hepatic hemangioma, diagnosed prenatally as a huge intra-abdominal mass. Patient developed respiratory distress due to large abdominal mass, thrombocytopenia, anemia and bowel compression thus necessitated surgical excision. Postoperative recovery was uneventful.
Conclusion: Giant hepatic hemangioma may become fatal due to a huge mass effect on respiration and bowel function, along with associated thrombocytopenia and anemia. Adequate monitoring and support are mandatory in such cases and surgical excision at times becomes lifesaving.
Downloads
Metrics
References
Leon M, Chavez L, Surani S. Hepatic hemangioma: What internists need to know. World J Gastroenterol. 2020; 26:11-20.
Riley MR, Garcia MG, Cox KL, William BK, John Jr. Hepatic infantile hemangioendothelioma with unusual manifestations. J Pediatr Gastroenterol Nutr. 2006; 42:109–13.
Ji Y, Chen S, Xiang B, Xu Z, Jiang X, Liu X, et al. Clinical features and management of multifocal hepatic hemangiomas in children: a retrospective study. Sci Rep. 2016; 6:31744.
Andrews SW, Kane B, Richard J. Hendrickson; Lesions of the liver: In Ashcraft’s Pediatric Surgery (7th ed), Holcomb GW, Murphy JP, Peter SD. Saunders Elsevier; 2020:1030-35.
Jiao-ling L, Xiu-Ping G, Kun-Shan C, Qiu-Ming H, Xiao-Fen L, Bo-Yang Y, et al. Huge fetal hepatic Hemangioma: prenatal diagnosis on ultrasound and prognosis. BMC Pregnancy Childbirth. 2018; 18:2. Available from: https://doi.org/10.1186/s12884-017-1635-7.
Burrows PE, Dubois J, Kassarjian A. Pediatric hepatic vascular anomalies. Pediatr Radiol. 2001; 31:533-45.
Feng ST, Chan T, Ching AS, Guo HY, Fan M, Meng QF, et al. CT and MR imaging characteristics of infantile hepatic hemangioendothelioma. Eur J Radiol. 2010; 76:e24–e29.
Lu M, Greer ML. Hypervascular multifocal hepatoblastoma: dynamic gadolinium-enhanced MRI findings indistinguishable from infantile hemangioendothelioma. Pediatr Radiol. 2007; 37:587-91.
Bosemani T, Puttgen KB, Huisman TA, Tekes A. Multifocal infantile hepatic hemangiomas--Imaging strategy and response to treatment after propranolol and steroids including review of the literature. Eur J Pediatr. 2012; 171:1023-28.
Kullendorff CM, Cwikiel W, Sandstrom S. Embolization of hepatic hemangiomas in infants. Eur J Pediatr Surg. 2002; 12:348-52.
Bärtsch EM, Paek BW, Yoshizawa J, Goldstein RB, Ferrell LD, Coakley FV, et al. Giant fetal hepatic hemangioma. Fetal Diagn Ther. 2003; 18:59-64.
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Mohammed Daboos, Abdulrahman Almuawi, Ramakrishna Prasad
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
