Imaging findings of multiple infantile hepatic hemangioma associated with cardiac insufficiency

Background Infantile hepatic hemangioma (IHH) as a benign liver tumor in infancy and childhood is commonly associated with high output cardiac failure. The present study aims to describe the imaging findings in a patient who was diagnosed as having multiple IHH with congestive cardiac insufficiency....

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Bibliographic Details
Published in:World journal of pediatrics : WJP 2014-11, Vol.10 (4), p.368-370
Main Authors: Ye, Jing-Jing, Shao, Yin-Can, Shu, Qiang
Format: Article
Language:English
Subjects:
Case Report
Critical Care Medicine
Imaging
Intensive
Maternal and Child Health
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Radiology
Surgery
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Summary:Background Infantile hepatic hemangioma (IHH) as a benign liver tumor in infancy and childhood is commonly associated with high output cardiac failure. The present study aims to describe the imaging findings in a patient who was diagnosed as having multiple IHH with congestive cardiac insufficiency. Methods The imaging findings and clinical manifestations of the patient with multiple IHH associated with cardiac insufficiency were retrospectively reviewed. Results Ultrasonography showed multiple intrahepatic lesions with mixed echoes and markedly expanded hepatic veins and the inferior vena cava of the patient. Echocardiography revealed right heart insufficiency and pulmonary hypertension. Contrast-enhanced MRI showed early mild enhancement of lesions and more obvious delayed enhancement. The patient died after combined therapy of surgery and hormone. Conclusions The imaging findings of multiple IHH associated with cardiac insufficiency are typical and diagnostic. Early imaging assessment may facilitate the diagnosis and treatment of the disease.
ISSN:1708-8569
1867-0687
DOI:10.1007/s12519-014-0515-8