Hemangioendothelioma of liver and spleen: trauma-induced consumptive coagulopathy.
The case of a 9-year-old boy with hemangioendothelioma of the liver and spleen who presented with consumptive coagulopathy one month after sustaining a blunt trauma to his abdomen is reported. A contrast enhanced computed tomography scan of the abdomen showed a ruptured spleen with multiple lesions in the liver that were enhancing with contrast. On exploration, the child was found to have splenic rupture with multiple vascular lesions of the liver. A splenectomy with liver biopsy was done. The histopathologic examination found that both the liver and spleen had a similar tumor morphology characteristic of an epithelioid and spindle cell hemangioendothelioma. The child ultimately died of relentless consumptive coagulopathy.
Goyal
Anju
A
Department of Pediatric Surgery, Pathology, and Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Babu
S Nagesh
SN
Kim
Vaiphei
V
Katariya
S
S
Rao
K L N
KL
D001642:Bicycling / Q000293:injuries; D002648:Child; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D017809:Fatal Outcome; D006390:Hemangioendothelioma / Q000150:complications* / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000473:pathology; D013160:Splenic Neoplasms / Q000150:complications* / Q000473:pathology; D013161:Splenic Rupture / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*