Hosting 728 files, 2951 images, and 4 contributors.

Random Case

Aicardi Syndrome
Joseph Junewick, MD FACR
over 9 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Infantile Hepatic Hemangioma

Case Detail

Anatomy: Gastrointestinal
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 9 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US CT
Adobe32 PDF Imagej32 ImageJA


1 month old female with hepatomegaly.

Case Images


Infantile Hepatic Hemangioma

Clinical Notes

Normal alpha-fetoprotein level for age.


US – Large multiseptated hepatic mass with marked peripheral hyperemia.

CT – Axial and coronal reformatted images confirm a large intrahepatic lesion with dense peripheral nodular enhancement; hypodensity centrally likely represents organizing hemorrhage or necrosis upon comparison to ultrasound.


Most infantile hepatic hemangioma are diagnosed in the first 6 months of life; rarely they are discovered after 1 year of age. There is a slight increased incidence in females and patients with hemihypertrophy and Beckwith-Wiedemann syndrome. High flow infantile hepatic hemaniomas may present with CHF and/or coagulopathy. Low flow lesions may be asymptomatic or present as a mass. Other complications include rupture, hypothyroidism (secondary to tumor production of iodothyronine deiodinase), hyperbilirubinemia (secondary to RBC breakdown). On pathological analysis, hemangioma can be confirmed by positive immunoreactivity to erythrocyte-type glucose transporter protein-1.


Chung EM, Cube R, Lewis RB, et al. Pediatric Liver Masses: Radiologic-Pathologic Correlation Part 1. Benign Tumors. Radiographics (2010); 30: 801-826.

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare