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Friday, 13 January 2017

CASE 413: INFANTILE HEMANGIOENDOTHELIAL LIVER, Dr PHAN THANH HAI, Dr PHAM THI NGOC TUYET, Dr LE ANH TUAN, Dr LEQUANG THONG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


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?



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