Hepatic haemagioendothelioma

Case contributed by Dr Amr Farouk

Presentation

Multiple hepatic focal lesions discovered on sonography.

Patient Data

Age: 2 months

Multiple bi-lobar variable sized hepatic focal lesions are seen showing intense peripheral nodular enhancement on the arterial phase with  gradual filling in on the portal-venous and delayed phases.

Reduction of the caliber of the abdominal aorta below the level of celiac branch with celiac trunk and hepatic artery hypertrophy.

Case Discussion

A neonate with multiple hepatic focal lesions showing typical peripheral enhancement and gradual filling in plus reduction in the aortic caliber below the level of celiac branch are diagnostic of hepatic hemangioendothelioma.

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