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Successful Medical Management of Life-threatening Hepatic Hemangioma in Neonates

Ramrada Lekwuttikarn1,2, Shellie Josephs3, Joyce M Teng4

  • 1Division of Pediatric Dermatology, Department of Dermatology and.

Pediatrics
|September 13, 2019
PubMed

Hepatic hemangioma (HH) is a common asymptomatic, self-limiting benign vascular tumor of the liver in neonates. Although complicated HHs are rare, they have significant risks of morbidity and mortality, especially during the perinatal period. Because of the high risks of complications from surgical interventions, there is an unmet need for effective medical therapy. We report 2 neonates with life-threatening HH who were evaluated for a liver transplant before being treated successfully with combined medical therapy, which included sirolimus, corticosteroids, and propranolol.

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