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[Hepatic hemangioma]

C M Costa1, K E Rodrigues, H G Campos

  • 1Hospital do Câncer, São Paulo, SP, Brazil.

Jornal De Pediatria
|December 4, 2003
PubMed

Insights

Surgery for congenital hepatic hemangioma was successful in a neonate with severe complications. This intervention is reserved for critical cases unresponsive to conservative management.

Area of Science:

  • Pediatric Surgery
  • Hepatology
  • Neonatal Care

Background:

  • Congenital hepatic hemangiomas are rare vascular tumors in infants.
  • Giant hemangiomas can lead to life-threatening complications like coagulopathy and heart failure.

Purpose of the Study:

  • To present a case of a giant congenital hepatic hemangioma in a neonate.
  • To detail the management and outcome of surgical intervention.

Main Methods:

  • Case report of a 6-day-old male infant with a giant hepatic hemangioma.
  • Description of clinical evolution, diagnostic imaging, and surgical resection.
  • Pathological confirmation of hemangioma.

Main Results:

  • The infant experienced hemodynamic instability, consumptive coagulopathy, and respiratory failure.
  • Preoperative imaging was inconclusive.
  • Complete surgical resection of the tumor was performed successfully.
  • The patient recovered and was discharged in good condition.

Conclusions:

  • Congenital hepatic hemangiomas typically warrant conservative management.
  • Surgical intervention is indicated for cases with intractable cardiac failure or refractory consumptive coagulopathy.

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