Neonatal hepatic hemangioendothelioma identified by real-time ultrasound: report of a case.
Sonographic findings emphasizing vascular imaging in the identification of a resectable huge hepatic hemangioendothelioma in a 1-day-old neonate are reported. The prominent sonographic features consisted of dilated hepatic veins, enlarged celiac trunk and hepatic artery, indicating arteriovenous shunting, in addition to the complex echo pattern of the mass itself. Moreover, sonographic visualization of marked caliber discrepancy between hepatic and splenic arteries at their origin from the celiac trunk readily provided another subjective evidence of hepatic artery dilatation, further reflecting the hypervascularity of this hepatic mass. Hence meticulous ultrasonic study of such hepatic masses with special attention to their enlarged feeding and draining vessels can provide a simple and noninvasive approach for early recognition of this vascular hepatic tumor in the immediate newborn period.
Wu
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Department of Pediatrics, St. Mary's Hospital, Lotung, Taiwan.
D006390:Hemangioendothelioma / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D008113:Liver Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D014463:Ultrasonography