{"title":"Ultrasonographic diagnosis and follow-up of a special type of giant fetal hepatic hemangioma.","authors":"Xiaoyan Weng, Juan Jiang, Gang Wen","doi":"10.1007/s00247-025-06196-4","DOIUrl":null,"url":null,"abstract":"<p><p>We present a case of giant fetal hepatic hemangioma to illustrate the impact of ultrasound monitoring on treatment outcomes. Prenatal ultrasound revealed cardiac enlargement, leading to a cesarean section. The neonate had multiple vascular anomalies, including hepatic artery-portal fistula, portal-hepatic venous fistula, and a giant arteriovenous fistula for the abnormal right internal thoracic artery with portal vein, causing progressive pulmonary hypertension. Postnatal embolization and propranolol treatment resulted in significant tumor shrinkage on ultrasonography and resolution by age 2 years. This report highlights the value of detailed prenatal ultrasound monitoring in guiding effective treatment and improving outcomes for giant fetal hepatic hemangioma, a rare but potentially life-threatening condition.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00247-025-06196-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
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Abstract
We present a case of giant fetal hepatic hemangioma to illustrate the impact of ultrasound monitoring on treatment outcomes. Prenatal ultrasound revealed cardiac enlargement, leading to a cesarean section. The neonate had multiple vascular anomalies, including hepatic artery-portal fistula, portal-hepatic venous fistula, and a giant arteriovenous fistula for the abnormal right internal thoracic artery with portal vein, causing progressive pulmonary hypertension. Postnatal embolization and propranolol treatment resulted in significant tumor shrinkage on ultrasonography and resolution by age 2 years. This report highlights the value of detailed prenatal ultrasound monitoring in guiding effective treatment and improving outcomes for giant fetal hepatic hemangioma, a rare but potentially life-threatening condition.
期刊介绍：
Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology
Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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