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Case Reports
. 2018 Aug;65(8):e27222.
doi: 10.1002/pbc.27222. Epub 2018 May 9.

Clinically significant ascites as an indication for resection of rapidly involuting congenital hepatic hemangiomas

Mia Klein  1 , Alicia K Chang  2 , Sanjeev A Vasudevan  3 , Julie Blatt  4 , Ionela Iacobas  5 , Sang Lee  6
Affiliations
Case Reports

Clinically significant ascites as an indication for resection of rapidly involuting congenital hepatic hemangiomas

Mia Klein et al. Pediatr Blood Cancer. 2018 Aug.

Abstract

Hepatic hemangiomas are the most common benign liver tumor of infancy and are divided into two main types: rapidly involuting congenital hemangiomas (RICH) and non-involuting congenital hemangiomas. RICH typically involute by 12 months and are often asymptomatic. Surgical resection is rare. Indications for surgical resection include rupture, rapid growth, consumptive coagulopathy, and abdominal pain. We present two patients from different institutions who both developed clinically significant ascites as the RICH involuted, prompting surgical resection. This is a new indication for resection.

Keywords: RICH; ascites; hepatic hemangioma.

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Conflict of interest statement

Conflict of Interest Statement

There are no conflicts of interest or financial disclosures for any authors related to this manuscript.

Figures

Figure 1
Figure 1
Case 1. Abdominal MRI with T2-weighted image. Classically, hepatic hemangiomas appear hypointense on T1 weighted images and hyperintense on T2 weighted images. This hyperintensity on T2 weighted imaging is one of the important features that distinguish hemangiomas from a solid neoplastic liver lesion. Arrow is pointing at lesion, with white hyperintensity seen throughout the mass
Figure 2
Figure 2
Case 2. Abdominal MRI with T2-weighted image. Mass at 5 1/2 months of age. Arrow is directed at mass, with white hyperintensity seen centrally.
See this image and copyright information in PMC

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