Weng Xiaoyan, Jiang Juan, Wen Gang
Ultrasound Department of Women and Children's Hospital Affiliated to Ningbo University, No. 339 Liuting Street, Haishu District, Ningbo, Zhejiang Province, 315000, China.
Neonatal Monitoring Center of Women and Children's Hospital Affiliated to Ningbo University, No. 339 Liuting Street, Haishu District, Ningbo, Zhejiang Province, 315000, China.
Pediatr Radiol. 2025 May;55(5):1024-1028. doi: 10.1007/s00247-025-06196-4. Epub 2025 Feb 27.
We present a case of giant fetal hepatic hemangioma to illustrate the impact of ultrasound monitoring on treatment outcomes. Prenatal ultrasound revealed cardiac enlargement, leading to a cesarean section. The neonate had multiple vascular anomalies, including hepatic artery-portal fistula, portal-hepatic venous fistula, and a giant arteriovenous fistula for the abnormal right internal thoracic artery with portal vein, causing progressive pulmonary hypertension. Postnatal embolization and propranolol treatment resulted in significant tumor shrinkage on ultrasonography and resolution by age 2 years. This report highlights the value of detailed prenatal ultrasound monitoring in guiding effective treatment and improving outcomes for giant fetal hepatic hemangioma, a rare but potentially life-threatening condition.
我们报告一例巨大胎儿肝血管瘤病例，以说明超声监测对治疗结果的影响。产前超声显示心脏扩大，遂行剖宫产。新生儿有多种血管异常，包括肝动脉-门静脉瘘、门静脉-肝静脉瘘，以及异常的右胸廓内动脉与门静脉形成的巨大动静脉瘘，导致进行性肺动脉高压。产后栓塞和普萘洛尔治疗使超声检查显示肿瘤显著缩小，并在2岁时消退。本报告强调了详细的产前超声监测在指导有效治疗和改善巨大胎儿肝血管瘤（一种罕见但可能危及生命的疾病）治疗结果方面的价值。
