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      Congenital liver hemangioma revealed by cholestasis syndrome: report of a rare case

      case-report

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          Abstract

          Our paper reports a case of hepatic angioma revealed by neonatal cholestasis, thing that has never been reported in the literature to our knowledge. A newborn boy of 25 days of life had cholestatic jaundice since his fifth day of life. During its health assessment, the angioscan detected the presence of multiple hepatic agiomas. The rest of the etiological report returned without any anomaly. Beta-blockers were started with a very good clinical and ultrasonographic evolution after 12 months of treatment.

          Most cited references6

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          Hepatic hemangiomas: subtype classification and development of a clinical practice algorithm and registry.

          Harriet Paltiel, Josée Dubois, Steven J. Fishman … (2006)
          Hepatic hemangiomas, though histologically benign, may be associated with significant morbidity and mortality in afflicted infants. The literature presents much confusion regarding the natural history and treatment options for hepatic hemangiomas. Clinical manifestations range from asymptomatic self-limiting lesions to congestive heart failure associated with high-volume vascular shunting to fulminant hepatic failure with hypothyroidism, abdominal compartment syndrome, and death. There has been little rationale to choose among observation, corticosteroid, other pharmacologic agents, arterial embolization, hepatic artery ligation, resection, or liver transplantation for any given patient. We analyzed several recent retrospective radiologic analyses and pathologic studies to determine whether hepatic hemangiomas could be categorized, allowing prediction of their natural history and rational choice of therapies based upon their clinical presentation and radiographic appearance. We propose that hepatic hemangiomas do not represent a single entity but, rather, 3 principle categories of lesions: focal, multifocal, and diffuse. Because these 2 categories represent different anatomical and physiologic variants, so, too, may they respond differently to previously anecdotally applied treatment regimens. With input from international multidisciplinary authorities on hemangiomas, we developed and proposed a clinical practice algorithm for the evaluation and management of hepatic hemangiomas. Toward that end, we propose a plan to institute a web-based international hepatic hemangioma registry. Participants in the registry could obtain no-cost centralized review of imaging studies (and histology if available) and guidance regarding the management algorithm from an established multidisciplinary team. In exchange, the registry will facilitate the acquisition of systematic clinical and imaging information. Longitudinal observation of response to more directed treatment protocols may contribute greatly to the understanding of these potentially fatal tumors.
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            Infantile haemangioma: part I. Pathophysiology, epidemiology, clinical features, life cycle and associated structural abnormalities.

            C Leaute-Labreze, S Prey, K Ezzedine (2011)
            Infantile haemangioma (IH) is the most common tumour of infancy. Its typical natural history is characterized by an early rapid growth following birth and a slow spontaneous regression phase within a period of 3 to 7 years. The exact aetiopathogeny underlying IH is still to be fully understood, but the role of fetal hypoxic stress is strongly suggested as a triggering signal in epidemiological studies. IH are composed of a complex mixture of cells including multipotent stem cells, a majority of immature endothelial cells, pericytes, dendritic cells and in the late stage, adipocytes. Most of IH are nodular and are not associated with malformations. However, in some cases, IH referred to as segmental may be associated with developmental abnormalities such as PHACES and PELVIS/SACRAL syndromes. © 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology.
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              Guidelines of care for hemangiomas of infancy. American Academy of Dermatology Guidelines/Outcomes Committee.

              I Frieden, L F Eichenfield, N B Esterly … (1997)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pan Afr Med J
                Journal ID (iso-abbrev): Pan Afr Med J
                Journal ID (publisher-id): PAMJ
                Title: The Pan African Medical Journal
                Publisher: The African Field Epidemiology Network
                ISSN (Electronic): 1937-8688
                Publication date (Electronic): 17 July 2020
                Publication date Collection: 2020
                Volume: 36
                Electronic Location Identifier: 192
                Affiliations
                [1 ]Medical Department of Neonatology Reanimation, The Reference National Centre of Neonatology and Nutrition of Mother and Child, Sick Child Hospital CHU of Rabat, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
                Author notes
                Corresponding author: Chaimae Khairoun, Medical Department of Neonatology Reanimation, The Reference National Centre of Neonatology and Nutrition of Mother and Child, Sick Child Hospital CHU of Rabat, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco. chaimae.khairoun@ 123456gmail.com
                Article
                Publisher ID: PAMJ-36-192
                DOI: 10.11604/pamj.2020.36.192.21411
                PMC ID: 7467625
                SO-VID: ebfa5474-b124-4f51-bfa9-6f01b61153f0
                Copyright © Copyright: Chaimae Khairoun et al.
                License:

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 27 December 2019
                Date accepted : 02 May 2020
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: liver hemangioma,congenital,cholestasis,neonatal,beta-blockers
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: liver hemangioma, congenital, cholestasis, neonatal, beta-blockers

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