title: Imaging findings of multiple infantile hepatic hemangioma associated with cardiac insufficiency.
abstract: BACKGROUND
  Infantile hepatic hemangioma (IHH) as a benign liver tumor in infancy and childhood is commonly associated with high output cardiac failure. The present study aims to describe the imaging findings in a patient who was diagnosed as having multiple IHH with congestive cardiac insufficiency.
  
  
  METHODS
  The imaging findings and clinical manifestations of the patient with multiple IHH associated with cardiac insufficiency were retrospectively reviewed.
  
  
  RESULTS
  Ultrasonography showed multiple intrahepatic lesions with mixed echoes and markedly expanded hepatic veins and the inferior vena cava of the patient. Echocardiography revealed right heart insufficiency and pulmonary hypertension. Contrast-enhanced MRI showed early mild enhancement of lesions and more obvious delayed enhancement. The patient died after combined therapy of surgery and hormone.
  
  
  CONCLUSIONS
  The imaging findings of multiple IHH associated with cardiac insufficiency are typical and diagnostic. Early imaging assessment may facilitate the diagnosis and treatment of the disease.
authors.affiliation: Department of Ultrasonography, Children's Hospital, Zhejiang University School of Medicine and Zhejiang Key Laboratory for Diagnosis and Therapy of Neonatal Diseases, Key Laboratory of Reproductive Genetics, Zhejiang University, Ministry of Education, Hangzhou, China.
authors.forename: Jing-Jing
authors.initials: JJ
authors.lastname: Ye
authors.forename: Yin-Can
authors.initials: YC
authors.lastname: Shao
authors.forename: Qiang
authors.initials: Q
authors.lastname: Shu
mesh_terms: D003952:Diagnostic Imaging; D017809:Fatal Outcome; D005260:Female; D006333:Heart Failure / Q000175:diagnosis*; D006391:Hemangioma / Q000175:diagnosis*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis*; D007223:Infant; D008113:Liver Neoplasms / Q000175:diagnosis*