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2015-09-03-22 Answer to the case of the week #403 © Farajov www.TheFetus.net 


Answer to the case of the week #403

September 10, 2015 - September 24, 2015

Azer Farajov, MD.

German Hospital Fetal Medicine Unit; Lecturer of Radiology unit in Advancing Treining Inistitute of Doctors, Baku, Azerbaijan.
 

Case report

A 28-year-old woman (G1P0) with non-contributive history was sent to our department at 32 weeks of her pregnancy due to cystic lesions within fetal abdomen that were considered to be dilated bowel loops.

Our examination revealed a multicystic mass within right lobe of the liver. Slow movement of fluid could be recognized within cystic parts with more striking peripheral vascularization.

In our differential diagnostic consideration we were thinking about hepatic hemangioma.

The baby was delivered at term and the diagnosis of hepatic hemangioma was confirmed.
Kasabach-Merritt syndrome had developed but was managed successfully and the baby is doing fine.


Images 1-10: Transverse and sagittal scans of the fetal abdomen showing cystic lesion of the hepatic hemangioma within right lobe of the liver with prominent peripheral vascularization.

 

 

 

 

 

Videos 1-5: Transverse and sagittal scans of the fetal abdomen showing cystic lesion of the hepatic hemangioma within right lobe of the liver with slow fluid movement within cystic parts and prominent peripheral vascularization.

 

 


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