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Hepatic hemangioendothelioma: Prenatal sonographic findings and evolution of the lesion
Author(s) -
Meirowitz Natalie B.,
Guzman Edwin R.,
UnderbergDavis Sharon J.,
Pellegrino Joan E.,
Vintzileos Anthony M.
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200006)28:5<258::aid-jcu9>3.0.co;2-k
Subject(s) - medicine , hemangioendothelioma , fetus , in utero , lesion , intracardiac injection , radiology , single umbilical artery , abdominal aorta , umbilical artery , ultrasound , aorta , pathology , pregnancy , surgery , biology , genetics
We describe a case of hepatic hemangioendothelioma that was first suspected based on prenatal sonographic findings at 19 weeks' menstrual age. At 16 weeks, the patient presented with a markedly elevated maternal serum α‐fetoprotein level. Serial sonographic examinations revealed that the fetus had cardiomegaly, hepatomegaly with a hepatic mass and dilated intrahepatic vessels, a single umbilical artery, and a placental chorioangioma. Arteriovenous shunting within the hepatic mass was seen using color Doppler and pulsed Doppler sonography. An enlarged artery arising from the abdominal aorta supplying the mass was demonstrated. Postnatal physical examination and radiologic studies supported the diagnosis of hepatic hemangioendothelioma. The evolution in the sonographic appearance of this hepatic lesion in utero over a 17‐week period is described. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:258–263, 2000.