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Giant Infantile Hepatic Hemangioma: Case Report and Surgical Technique
Mehmet Özgür Kuzdan1, Altan Alim2, Reyhan Alim1
1Department of Pediatric Surgery, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
Insights
Infantile hepatic hemangioma, a common pediatric liver tumor, presents with varied symptoms. This study details a surgical technique for large, symptomatic cases, offering valuable insights for surgeons managing these rare conditions.
Area of Science:
- Pediatric Surgery
- Hepatology
- Neonatal Medicine
Background:
- Infantile hepatic hemangioma (IHH) is the most frequent liver tumor in children.
- Symptoms range from abdominal mass and anemia to heart failure.
- Treatment for IHH is variable, including observation, medication, or surgical intervention.
Observation:
- A case of an 11-day-old newborn with giant hepatic hemangioma causing respiratory arrest is presented.
- The study focuses on large and symptomatic IHH cases requiring surgical management.
- Clinical presentation of IHH can exhibit diverse behaviors.
Findings:
- The study details a specific surgical technique for managing giant infantile hepatic hemangiomas.
- Surgical intervention is indicated for large, symptomatic IHH cases.
- Sharing surgical techniques is crucial for rare pediatric liver tumors.
Implications:
- This work provides a valuable surgical reference for rare cases of infantile hepatic hemangioma.
- Effective surgical strategies are essential for improving outcomes in neonates with critical IHH.
- Dissemination of surgical techniques aids in the advancement of pediatric surgical practice for liver tumors.
Abstract:
Infantile hepatic hemangioma is the most common liver tumor in children. The most common symptoms are mass in her stomach, anemia and heart failure. According to the findings of the patient, the treatment may vary from the clinical follow-up to liver transplantation. In our study, the details of the surgical technique were presented. An 11-day-old newborn case with giant hepatic hemangioma causing postnatal respiratory arrest was presented in this study. Large and symptomatic patients with infantile hepatic hemangiomas who face us with different clinical behaviors are operated. It will be useful to share the surgical technique for these rarely seen cases for surgeons.

