Imaging diagnosis and follow-up of infantile hepatic haemangioendothelioma: a case report

Eur J Pediatr. 1994 Feb;153(2):100-2. doi: 10.1007/BF01959217.

Abstract

A 4-week-old male infant was admitted to the hospital with acute gastrointestinal bleeding and marked coagulopathy secondary to vitamin K malabsorption in the presence of cholestasis. Physical examination revealed hepatomegaly and cutaneous haemangiomas. Ultrasonography, CT, and MRI demonstrated a multifocal vascular process and allowed the diagnosis of infantile hepatic haemangioendothelioma to be made without the use of more invasive diagnostic procedures. To avoid high-output congestive heart failure, the patient was treated with oral corticosteroids. After 5 months, rapid involution of the vascular malformations ensued. At age 2 years, a magnetic resonance scan confirmed complete resolution of the hepatic haemangioendothelioma.

Publication types

  • Case Reports

MeSH terms

  • Follow-Up Studies
  • Hemangioendothelioma / congenital*
  • Hemangioendothelioma / diagnosis*
  • Humans
  • Infant
  • Liver Neoplasms / congenital*
  • Liver Neoplasms / diagnosis*
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed