Spontaneous Subcapsular Hematoma of the Fetal Liver: A Case Report and Review of Literature.
We report a case of a cystic abdominal mass on ultrasound which presented a diagnostic dilemma at 32 weeks gestation. A presumptive antenatal diagnosis of a subcapsular liver hematoma (SCH) was made based on the location and ultrasound appearance similar to SCH seen in pediatric and adult patients. Sequential evaluation of the mass showed an evolving ultrasound appearance which reinforced our initial impression of a subcapsular hematoma of the fetal liver. Postnatal ultrasound confirmed the resolving SCH as well as a previously undetected echo bright lesion characteristic of an infantile focal hemangioma directly adjacent to the resolving SCH. A review of the literature is provided.
Maternal Fetal Medicine, Medical Center Hospital, Odessa, Texas ; Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas.
James E
JE
Maher
Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas.
Brittany
B
Van Beek
Maternal Fetal Medicine, Medical Center Hospital, Odessa, Texas ; Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas.
Randall T
RT
Kelly
Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas.
Peter
P
Hsu
cystic abdominal mass; liver hemangioma; prenatal diagnosis; subcapsular hematoma