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Imaging findings of multiple infantile hepatic hemangioma associated with cardiac insufficiency
Jing-Jing Ye, Yin-Can Shao, Qiang Shu
Hangzhou, China
Author Affiliations: Department of Ultrasonography (Ye JJ) and Department of Pediatric Cardiothoracic Surgery (Shu Q), Children's Hospital, Zhejiang University School of Medicine and Zhejiang Key Laboratory for Diagnosis and Therapy of Neonatal Diseases, Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education; Department of Surgery, 117 of the People's Liberation Army Hospital, Hangzhou 310003, China (Shao YC)
Corresponding Author:Qiang Shu, Department of Pediatric Cardiothoracic Surgery, Children's Hospital, Zhejiang University School of Medicine, 57 Zhugan Xiang, Yanan Road, Hangzhou 310003, China (Tel: 86-571-87078641; Fax: 86-571-87078641; Email: shuqiang@zju.edu.cn)
doi: 10.1007/s12519-014-0515-8
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.
World J Pediatr 2014;10(4):368-370
Key words: congestive;
echocardiography;
heart failure;
infantile hepatic hemangioma
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