Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Joseph Junewick, MD FACR
over 7 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

Case History

1 month old female with hepatomegaly.

Case Detail

Anatomy: Gastrointestinal
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 7 years ago
Updated: over 5 years ago
Tags: PEDS
Modality/Study Types: US CT
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Normal alpha-fetoprotein level for age.

Reveal Findings

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.

Reveal Discussion

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.

Reveal Diagnosis

Infantile Hepatic Hemangioma

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

Spectrum Health Helen Devos Childrens Hospital GE HealthCare