A Case Report of Infantile Hepatic Hemangioendotheliomas Supplied by the Internal Mammary Artery With Mid-aortic Syndrome, High Cardiac Output, and Right Ventricular Strain.

Hemangiomas affect a wide range of sites, from the brain and musculoskeletal system to visceral organs and skin. Hepatic hemangiomas are benign vascular proliferations of endothelial cells that result in liver lesions. These lesions are congenital if present at birth. However, when they appear after birth during infancy, they are referred to as infantile hepatic hemangiomas (IHHs). These lesions are usually asymptomatic but can occasionally lead to complications such as high cardiac output failure, hypothyroidism, and growth restriction in infants if left untreated. They may also cause mass effects in the liver, making early and timely diagnosis crucial. Despite their histologically benign nature, hepatic hemangiomas can lead to significant morbidity and mortality in affected infants. We describe the case of a male child with tiny, localized, characteristic cutaneous hemangiomas in addition to several hepatic tumors known as infantile hemangiomas (IHs). This case report highlights the varied sites and patterns of involvement, including the chest, trunk, lips, face, scalp, limbs, back, and liver, suggesting multifocal involvement.