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Neonatal hepatic hemangioma with intestinal obstruction: A report of two cases
Jinghao Yan1,2, Abudula Yasenjiang1,2, Haixia Yao1,2
1Department of Pediatric Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
Insights
Surgical intervention for neonatal hepatic hemangioma (HH) causing intestinal obstruction effectively relieved symptoms in two cases. Early surgery is recommended to prevent severe complications like intestinal perforation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Care
Background:
- Neonatal hepatic hemangioma (HH) is a rare vascular tumor.
- HH can lead to serious complications, including intestinal obstruction.
- Surgical management of HH with intestinal obstruction is not well-documented.
Observation:
- Two cases of neonatal hepatic hemangioma causing intestinal obstruction are presented.
- Case 1 involved HH adhering to the ileocecal area, causing obstruction relieved by surgery.
- Case 2 involved HH in the right anterior lobe, causing posterior intestinal obstruction relieved by surgery.
Findings:
- Surgical treatment led to significant relief of intestinal obstruction and abdominal distension in both cases.
- Postoperative pathology confirmed congenital or infantile hemangioma.
- Both infants recovered well, with normal bowel function and were discharged after a week.
- A 2-year follow-up showed no recurrence of HH in Case 2.
Implications:
- Early surgical intervention is crucial for neonatal hepatic hemangioma with intestinal obstruction to prevent complications.
- Prompt treatment can lead to favorable outcomes and full recovery in affected neonates.
- This approach highlights the importance of considering vascular tumors in the differential diagnosis of neonatal intestinal obstruction.
Abstract:
To explore the treatment experience of neonatal hepatic hemangioma (HH) with intestinal obstruction. Case 1 was 2.5 kg at birth and was 7 days old at the time of the visit. Case 1 underwent surgery 2 weeks after birth, and it was confirmed that HH was located in the left inner lobe of the liver, and it adhered to the ileocecal area to form an acute angle, leading to intestinal obstruction. The intestinal obstruction was significantly relieved. Postoperative pathology showed that case 1 had a congenital hemangioma. Case 1 started breastfeeding 3 days after the operation; the bowel function was well recovered, and the abdominal distension was significantly relieved. The child was discharged 1 week after the operation. Case 2 was 2.7 kg at birth and was 1 day old at the time of the visit. Case 2 was operated on 2 days after birth. During the operation, it was confirmed that the hepatic blood vessels were in the right anterior lobe of the liver. Postoperative pathology showed that case 2 had an infantile hemangioma. The posterior intestinal obstruction was significantly relieved. Case 2 began to drink a small amount of water on the 5th day after the operation and started breastfeeding on day 7. The abdominal distension was significantly relieved, and the stools were normal. reexamination showed no obvious recurrence of HH during a 2-year follow-up. Active surgical treatment should be considered if there is a risk of intestinal perforation to prevent serious complications.
