[Prenatal diagnosis of hepatic hemangioendothelioma and peripartual management].
Infantile hepatic hemangioendothelioma is a benign hepatic tumor that can be associated with life-threatening perinatal complications. A 38-year-old gravida 3 para 2 was referred to our hospital with preterm labor at 33.6 gestational weeks. Fetal abdominal circumference was estimated sonographically above the 97 th percentile. Because of pathologic CTG, the fetus was delivered by caesarean section (APGAR-scores 0/0/7, pH: 7.15). After cardiopulmonary reanimation and intensive care of the fetus, the prenatally suspected hemangioma of the liver was confirmed by computer tomography. The day after, liver segments V, VI, and VII were resected because of lung compression. During the operation, reanimation was necessary two more times. Two days later, ductus arteriosus Botalli was occluded. After stabilization, the neonate was treated with prednisone because of tumor residues. If a large hyperechogenic mass in the fetal liver is seen prenatally, diagnosis of fetal hemangioma should be considered. In order to prevent serious cardiovascular complications, continual clinical surveillance is indicated.
Ritter
S
S
Frauenklinik für Gynäkologie und Geburtshilfe der Rheinisch-Westfälischen Technischen Hochschule Aachen, Abteilung Ultraschall und Pränataldiagnostik. sritter@ukaachen.dk
Jörn
H
H
Ahaus
M
M
Rath
W
W
D000328:Adult; D015148:Cardiotocography; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D005320:Fetal Macrosomia / Q000000981:diagnostic imaging / Q000209:etiology; D006390:Hemangioendothelioma / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D007231:Infant, Newborn; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D007752:Obstetric Labor, Premature / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal