Case Reports International - Journal for publishing high quality case reports
 
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Case Report
 
Infantile hemangioendothelioma
Bafana Elliot Hlatshwayo1, Daba Ipfi1, Sipho Sithole1
1Radiology Depth, Polokwane Hospital University of Limpopo, Polokwane, Northern Province South, South Africa.

Article ID: 100001CRINTBH2012
doi:10.5348/crint-2012-1-CR-1

Address correspondence to:
Bafana Elliot Hlatshwayo
P.O Box 571,
Johannesburg, Gauteng,
South African Postal code: 1867
Phone: +27828572700
Fax: 086 659 2493
Email: hlatshwayo.bafana@gmail.com

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How to cite this article:
Hlatshwayo BE, Daba I, Sithole S. Infatile hemangioendothelioma. Case Reports International 2012;1:1–4.


Abstract
Introduction: Hepatic tumors in children are relatively uncommon and account for 2–3% of all pediatric tumors, however infantile hemagioendothelioma is the third most common hepatic tumor accounting for 12% of all childhood tumors.
Case Report: We report the case of 12 week and 11 day old female patient who was retroviral disease (RVD) positive. The presenting complaint was abdominal distention which started soon after birth (in the first month) and rapidly increased in size. Ultrasonography showed hepatomegaly with diffuse discrete round hypoechoic lesions involving all the segments of the liver. Color Doppler demonstrated increased vascularity at the periphery of these lesions. These lesions ranged from 1–3 cm in greatest diamesion. Non-enhanced computerized tomography scan showed multiple hypoattenuating nodules, which enhanced peripherally, post-contrast, during arterial phase and showed progressive centripetal filling during porto-venous phase. Magnetic resonance imaging showed multiple round lesions of different sizes involving the whole liver parenchyma. The lesions showed low signal intensity on T1 weighted images and high signal intensity on T2 weighted images. The lesions did not suppress on a fat suppressing sequence. Liver biopsy was not done due to highly vascular nature of the lesion and low platelet count.
Conclusion: Infantile hepatic hemangioendothelioma shows some highly suggestive imaging features on both CT scan and MRI. Treatment depends on the presenting symptoms.

Key Words: Infantile hemangioendothelioma, Stroma, Flow void, MRI

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Author Contributions:
Bafana Elliot Hlatshwayo - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Daba Ipfi - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Sipho Sithole - Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Bafana Elliot Hlatshwayo et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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