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Case Reports
. 2016 May 11;2(2):20150399.
doi: 10.1259/bjrcr.20150399. eCollection 2016.

Congenital hepatic haemangioma leading to multiple organ failure in a neonate

Sarah Aouni  1 , Vinciane Vlieghe  2 , Valérie Segers  3 , Catherine Christophe  1
Affiliations
Case Reports

Congenital hepatic haemangioma leading to multiple organ failure in a neonate

Sarah Aouni et al. BJR Case Rep. .

Abstract

We report a case of a premature male newborn who died from multiple organ failure due to a large congenital hepatic haemangioma that was diagnosed by imaging. Congenital haemangioma is a vascular tumour. The liver is the second organ involved after the skin. This tumour can be asymptomatic but can also lead to death.

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Figures

Figure 1.
Figure 1.
X-ray of the chest and abdomen showed cardiomegaly, acute pulmonary and soft tissues oedema, and an opacity related to hepatomegaly.
Figure 2.
Figure 2.
Ultrasound demonstrated a hyperechoic, heterogeneous hepatic mass (between calipers) (a) with moderate vascularization on Doppler ultrasound (b) and small calcifications.
Figure 3.
Figure 3.
MRI showed a heterogeneous hepatic mass (arrows) in the right lobe, mostly hypointense on T 1 (a, parasagittal view) and hyperintense on T 2 weighted (b, axial view; c, frontal view) images, with enlarged hepatic veins (asterisk).
Figure 4.
Figure 4.
Non-enhanced CT scan showed predominantly peripheral calcifications (arrows).
Figure 5.
Figure 5.
(a) Gross anatomy, large necrotic hepatic mass (arrows) of the right lobe, adjacent to normal parenchyma. (b) Histological specimen, large intratumoral necrosis with peripheral varying-sized vascular lakes (arrow). The glucose transporter-1 marker was negative.
See this image and copyright information in PMC

References

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