Infantile Hepatic Hemangioma: A Novel Approach Using Propranolol and Transarterial Embolization

Benign vascular tumors, or hemangiomas, are common in young children. The most frequent way to identify them on the skin is as bright red surface lesions, although they can also be detected deeper as subcutaneous lesions. Visceral involvement, particularly of the liver, is commonly observed in patie...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e66507
Main Authors: Kaplish, Divyanshi, Vagha, Jayant D, Lohiya, Sham, Wandile, Shailesh, K, Sri Sita Naga Sai Priya
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Asymptomatic
Blood transfusions
Cardiac/Thoracic/Vascular Surgery
Case reports
Embolization
Endocrinology/Diabetes/Metabolism
Females
Hemangioma
Hemoglobin
Hypothyroidism
Liver
Medical imaging
Pediatrics
Phosphatase
Thyroid gland
Tomography
Tumors
Ultrasonic imaging
Veins & arteries
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Summary:Benign vascular tumors, or hemangiomas, are common in young children. The most frequent way to identify them on the skin is as bright red surface lesions, although they can also be detected deeper as subcutaneous lesions. Visceral involvement, particularly of the liver, is commonly observed in patients with multiple cutaneous hemangiomas. Since most hemangiomas are self-limited, they can be clinically monitored. Despite this, hepatic hemangiomas can result in significant consequences, such as severe hepatomegaly, which can induce abdominal compartment syndrome, inadequate ventilation, and renal vein compression, as well as significant arteriovenous shunts that compromise the functioning of the heart. Depending on the patient's findings, management may range from routine follow-up to liver transplantation. Here, we present a case of hypothyroidism, hepatomegaly, and cardiac failure in a two-month-old female newborn with infantile hepatic hemangioma. The patient's symptoms were managed with the use of levothyroxine, propranolol, and transcatheter arterial embolization (TAE).
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.66507