Idiopathic intraparenchymal hematoma of the liver in a neonate.
Hepatic hematomas in newborn infants are not frequently detected clinically, but are often found at perinatal autopsies. These hematomas of the liver are usually subcapsular in location. A variety of etiologies for such hematomas has been implicated, such as trauma, sepsis, and coagulopathies. We present a neonate who presented with jaundice and abdominal distention. Initial imaging studies revealed a large intraparenchymal lesion of the liver, which was at first thought to be suspicious for neoplasm; however, MRI showed the lesion to be hemorrhagic and follow-up sonographic studies showed total resolution of this lesion, compatible with hematoma. The intraparenchymal location and the idiopathic nature of this lesion distinguish this case from others previously reported.
Amodio
John
J
Division of Pediatric Radiology, Department of Radiology, New York University Medical Center, 560 1st Avenue, New York, NY 10016, USA. John.Amodio@med.nyu.edu
Fefferman
Nancy
N
Rivera
Rafael
R
Pinkney
Lynne
L
Strubel
Naomi
N
D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D008107:Liver Diseases / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D012075:Remission, Spontaneous; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed