Giant pedunculated hepatic hemangioma necessitating surgical excision in a neonate: A case report
Keywords:Pedunculated hemangioma , Pediatric liver tumors , Infantile hepatic hemangioma
Background: Hepatic hemangioma (HH) is the most common hepatic tumor in small infants. It rarely presents during the neonatal period. Fetal giant hepatic hemangiomas tend to result in hydrops fetalis and cardiac failure due to cardiovascular overload. The purpose of this case report is to demonstrate the importance of pre and postnatal diagnosis of liver hemangioma with unusual presentation in neonatal life with huge mass causing respiratory compromise, and bowel compression.
Case Presentation: We present a rare case of giant pedunculated hepatic hemangioma, diagnosed prenatally as a huge intra-abdominal mass. Patient developed respiratory distress due to large abdominal mass, thrombocytopenia, anemia and bowel compression thus necessitated surgical excision. Postoperative recovery was uneventful.
Conclusion: Giant hepatic hemangioma may become fatal due to a huge mass effect on respiration and bowel function, along with associated thrombocytopenia and anemia. Adequate monitoring and support are mandatory in such cases and surgical excision at times becomes lifesaving.
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Copyright (c) 2020 Mohammed Daboos, Abdulrahman Almuawi, Ramakrishna Prasad
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