Neonatal hepatic haemangioendothelioma: treatment options and dilemmas.
We describe a case of rapidly progressive neonatal diffuse hepatic haemangioendotheliomas. The clinical picture was characterized by respiratory insufficiency due to gross abdominal enlargement, coagulopathy, and the development of cardiovascular insufficiency during the course of disease. Pharmacological, radiotherapeutic and endovascular treatment options all proved ineffective. We describe our own experience and the steps taken to treat this child. Unfortunately, the child died as a consequence of the disease. As cases like this are rare and are associated with severe morbidity and high mortality, more knowledge needs to be gained on infantile hepatic haemangioendotheliomas and their optimal treatment. The use of a web-based data registry could be beneficial.
van der Meijs
Bram B
BB
Department of Radiology, Onze-Lieve-Vrouwe Gasthuis, Amsterdam, The Netherlands. b.b.vandermeijs@olvg.nl
Merks
Johannes H M
JH
de Haan
Timo R
TR
Tabbers
Merit M
MM
van Rijn
Rick R
RR
D000792:Angiography; D017809:Fatal Outcome; D006390:Hemangioendothelioma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D018615:Ultrasonography, Doppler, Color