Journal of Pediatric Surgery
Volume 30, Issue 10 , Pages 1485-1487, October 1995

Successful management of infantile hepatic hilar hemangioendothelioma with obstructive jaundice and consumption coagulopathy

  • Takanobu Hase

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Takanobu Hase, MD, Emergency Medicine, Shiga University of Medical Science, Seta, Tsukinowa-cho, Otsu, 520-21, Japan.
    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Masashi Kodama

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Akihiro Kishida

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Mikiko Matsushita

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Yoshimasa Kurumi

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Tomoyuki Mizukuro

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Hidetoshi Okabe

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Masaaki Uno

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Shigeru Ohta

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.
    • ,
  • Morimi Shimada

      Affiliations

    • Section of Emergency Medicine, the First Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
    • the Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Shiga, Japan.
    • Department of Pediatrics, Shiga University of Medical Science, Shiga, Japan.

Abstract 

A 4-month-old boy with benign hemangioma of the porta hepatis is described. Obstructive jaundice and consumption coagulopathy developed, which were treated by percutaneous transhepatic drainage (PTHD), without resection of the tumor or bypass surgery. Because of tumor regression, the patient has remained free of symptoms even after the PTHD tube was removed. Because juvenile hemangioma is a benign tumor and occasional spontaneous regression is known to occur (as in our case and other reports), it is suggested that complete resection or bypass surgery is not necessary for juvenile hemangioendothelioma, even with obstructive jaundice, if bile drainage is adequately maintained.

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PII: 0022-3468(95)90414-X

Journal of Pediatric Surgery
Volume 30, Issue 10 , Pages 1485-1487, October 1995

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