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Year 2018 - Volume 28 - Issue 3

Prenatal Diagnosis and Postnatal Management of a Large Hepatic Hemangioma
JCOG. 2018;28(3):121-4
DOI: 10.5336/jcog.2018-61241
Article Language: EN
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Hepatic hemangiomas are the most benign hepatic tumors appearing in childhood and the prenatal diagnosis is limited. An abdominal mass with a marked blood flow in prenatal USG examination is the major finding. Fetal MRI can be complementary to USG. While the majority of hepatic hemangiomas are asymptomatic, large lesions can lead to high-output cardiac failure, hydrops fetalis, anemia, and consumptive thrombocytopenia. Neonatal management is based on clinical findings and hematological parameters. We describe a case of hepatic hemangioma presenting a well-defined multicystic heterogeneous mass on obstetric ultrasound at the 22-week gestation which was managed conservatively in the postnatal period.

Keywords: Hemangioma, cavernous; liver neoplasms; magnetic resonance imaging;prenatal diagnosis; ultrasonography, doppler, color