Congenital hepatic hemangioma presenting with neonatal intestinal obstruction: A case report

Authors

  • Sumaira Noor Maham Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore
  • Shabbir Ahmad Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore
  • Muhammad Jawad Afzal Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore
  • Prof. Nabila Talat Baila Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore

DOI:

https://doi.org/10.47338/jns.v10.948

Keywords:

Congenital hemangioma, Intestinal obstruction, Neonate

Abstract

Background: Congenital hepatic hemangioma usually presents with abdominal distension. Rarely it may cause intestinal obstruction. We present a case of congenital hepatic hemangioma causing neonatal intestinal obstruction.

Case Presentation: A 4-day-old neonate presented with clinical and radiological features of neonatal intestinal obstruction. On exploration, a loop of jejunum was found adherent with a hepatic mass, arising from the left lobe of the liver. The hepatic mass profusely bled in an attempt of removing the adherent jejunal loop. Thus, the adherent portion was isolated and jejunojejunal end to end anastomosis was done. The hepatic mass along with an adherent small piece of jejunum was also excised. Histopathology showed hepatic hemangioma. The patient is doing fine on the 10-month follow-up.

Conclusion: We report a rare presentation of congenital hepatic hemangioma with neonatal intestinal obstruction. Although the optimum therapy for hepatic hemangioma is medical management, at times, surgical resection becomes a necessary option.

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Author Biographies

Sumaira Noor Maham, Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore

Resident

Shabbir Ahmad, Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore

Senior Registrar

Muhammad Jawad Afzal, Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore

Registrar

Prof. Nabila Talat Baila, Department of Pediatric Surgery Unit II, The Children’s Hospital and the Institute of Child Health, Lahore

Professor and Head of Department

References

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Karatzas T, Smirnis A, Dimitroulis D, Patsouras D, Evaggelou K, Kyklos S, et al. Giant pedunculated hepatocellular carcinoma with hemangioma mimicking intestinal obstruction. BMC Gastroenterol. 2011; 11:1-5.

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Almuawi A, Daboos M, Prasad R. Giant pedunculated hepatic hemangioma necessitating surgical excision in a neonate: A case report. J Neonatal Surg. 2020; 9:15.

Zhou JX, Huang JW, Wu H, Zeng Y. Successful liver resection in a giant hemangioma with intestinal obstruction after embolization. World J Gastroenterol: WJG. 2013; 19:2974.

Published

2021-05-03

How to Cite

1.
Maham SN, Ahmad S, Afzal MJ, Talat N. Congenital hepatic hemangioma presenting with neonatal intestinal obstruction: A case report. J Neonatal Surg [Internet]. 2021May3 [cited 2021Oct.19];10:21. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/948