In 2008, a 5 months old female baby with abdomen distention and ultrasound scanning of her abdomen detected multiple echo poor in her great liver ( US 1).
MRI of liver with gado found out multiple white spots with central low enhancement, looked like jack fruit appearance ( MRI 1, MRI 2).
CT of liver non CE also found out multiple black spot inside her big liver ( CT1).
Blood test with AFP = 76ng/mL.
Radiologist and hepatologist suggested that infantile hemangioendothelioma of liver, no need of special treatment.
Reviewing of this case in Jan 2017, now she is 9 year-old in well status, and liver ultrasound finds out only some small calcifications in her liver.
Conclusion: Multiple focal lesions of hemangioendothelial liver at neonate period now spontaneous regression for 9 years follow-up.
Update case 413 from Dr NGUYỄN ĐỨC TRÍ, CHILDREN N0 2 HOSPITAL
Today 18 Jan 2017, I see an another case looked like the case 413 which is on a male 4 months old baby with abdomen distention.
Ultrasound and CT with CE find out many round spots like jack fruit appearance.
Suspection of a second case of infantile multiple hemangioendothelioma.
Wait and see follow-up this case but how long to make sure the diagnosis?