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Published in: Pediatric Radiology 10/2009

01-10-2009 | Case Report

Hepatic failure in a rapidly involuting congenital hemangioma of the liver: failure of embolotherapy

Authors: Wendy Zenzen, Antonio R. Perez-Atayde, Scott A. Elisofon, Heung Bae Kim, Ahmad I. Alomari

Published in: Pediatric Radiology | Issue 10/2009

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Abstract

We report the clinical course, imaging findings, and management of a rare case of rapidly involuting congenital hemangioma of the liver in a newborn girl. The baby presented with severe progressive hepatic dysfunction and cardiomegaly. Multimodality imaging demonstrated a large hypervascular solitary hepatic mass with marked transhepatic shunting, consistent with rapidly involuting congenital hemangioma. Because medical therapy failed, transarterial and transvenous embolization was performed with the main intention to improve the hepatic perfusion and function. Unfortunately, despite improvement in the cardiac overload, liver function continued to deteriorate. The baby eventually underwent successful liver transplantation.
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Metadata
Title
Hepatic failure in a rapidly involuting congenital hemangioma of the liver: failure of embolotherapy
Authors
Wendy Zenzen
Antonio R. Perez-Atayde
Scott A. Elisofon
Heung Bae Kim
Ahmad I. Alomari
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 10/2009
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1346-y

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