Department of Pediatric Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
Department of General Surgery, Children's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
Medicine (Baltimore). 2023 Aug 25;102(34):e34607. doi: 10.1097/MD.0000000000034607.
To explore the treatment experience of neonatal hepatic hemangioma (HH) with intestinal obstruction. Case 1 was 2.5 kg at birth and was 7 days old at the time of the visit. Case 1 underwent surgery 2 weeks after birth, and it was confirmed that HH was located in the left inner lobe of the liver, and it adhered to the ileocecal area to form an acute angle, leading to intestinal obstruction. The intestinal obstruction was significantly relieved. Postoperative pathology showed that case 1 had a congenital hemangioma. Case 1 started breastfeeding 3 days after the operation; the bowel function was well recovered, and the abdominal distension was significantly relieved. The child was discharged 1 week after the operation. Case 2 was 2.7 kg at birth and was 1 day old at the time of the visit. Case 2 was operated on 2 days after birth. During the operation, it was confirmed that the hepatic blood vessels were in the right anterior lobe of the liver. Postoperative pathology showed that case 2 had an infantile hemangioma. The posterior intestinal obstruction was significantly relieved. Case 2 began to drink a small amount of water on the 5th day after the operation and started breastfeeding on day 7. The abdominal distension was significantly relieved, and the stools were normal. reexamination showed no obvious recurrence of HH during a 2-year follow-up. Active surgical treatment should be considered if there is a risk of intestinal perforation to prevent serious complications.
探讨新生儿肝血管瘤（HH）合并肠梗阻的治疗经验。病例 1 出生时体重 2.5kg，就诊时为 7 天龄。病例 1 于出生后 2 周行手术治疗，术中证实 HH 位于肝左内叶，与回盲部形成锐角，导致肠梗阻。术后肠梗阻明显缓解。术后病理显示病例 1 为先天性血管瘤。术后 3 天开始母乳喂养；肠道功能恢复良好，腹胀明显缓解。术后 1 周出院。病例 2 出生时体重 2.7kg，就诊时为 1 天龄。病例 2 于出生后 2 天行手术治疗。术中证实肝内血管位于肝右前叶。术后病理显示病例 2 为婴儿型血管瘤。术后后肠梗阻明显缓解。术后第 5 天开始少量饮水，第 7 天开始母乳喂养。腹胀明显缓解，大便正常。随访 2 年未见 HH 明显复发。如果有肠穿孔的风险，应积极考虑手术治疗，以预防严重并发症。
