Imaging
Findings
Axial T1WI revealed marked hepatomegaly with distortion of the
hepatic and portal radicles. On T2WI, multiple, oval and rounded hyper
intense lesions were seen involving almost the entire liver. These lesions
were surrounded by hypo intense capsule. Signal-void areas representing
feeder vessels were seen in some of these lesions. Celiac artery was
dilated. All these findings were suggestive of hepatic hemangiomas.
Cutaneous hemangioma is also noted in the back.
The child expired within 3 weeks of birth. Post-mortem findings confirmed
the diagnosis.
Brief
Discussion
Hemangiomas are usually much
smaller in size and are detected incidentally on USG examination. However,
when large, they can produce cardiac failure due to arterio-venous
shunting. Other smaller groups of patients can present with
thrombocytopenia.
Contribution
Dr.
Deepak Patkar, MRI Nanavati Hospital, Mumbai. |
