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Pediatrics Education and Research

Volume  12, Issue 2, July - Dec 2024, Pages 43-45
 

Case Report

Mass Abdomen in an Infant: A Pandora Box

Kiran B.¹, Geetha M.²

¹Professor and HOD, 2Associate Professor, Department of Pediatrics, East Point College of Medical Sciences & Research Centre, Bengaluru, Karnataka 560049, India.
 

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DOI: https://dx.doi.org/10.21088/per.2321.1644.12224.1

Abstract

Background: Infantile hepatic hemangioendothelioma/hemangioma (IHH) is the most common type of benign tumor of Liver, contributing to 12% of all childhood liver tumors. (1) It is a neonate’s common hepatic mesenchymal tumor, 90% being less than six months old. (1) The tumor is slightly more predominant in females. It may be asymptomatic or can cause serious complications like cardiac failure or coagulopathy. There is no treatment protocol established yet and increasing number of cases have been reported. There is a varied treatment options like pharmacological or interventional on the basis of the presentation. IHH is classified as a benign vascular tumor with spontaneous regression in some patients. Case presentation: Here is a 6 month old infant presented with Infantile colic and incidentally diagnosed to have IHH. Imaging like Ultrasonography and MRI confirmed the diagnosis. The child had an asymptomatic presentation and regressed with follow up. Conclusion: Increasing awareness about the condition needed for proper follow up. Early identification and prompt treatment is necessary to avoid fatal complications


Keywords : Mass abdomen, Infancy, Vascular, Liver.
Corresponding Author : Geetha M.