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AJP Rep 2015; 05(02): e203-e206
DOI: 10.1055/s-0035-1558403
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Subcapsular Hematoma of the Fetal Liver: A Case Report and Review of Literature

James E. Maher
1   Maternal Fetal Medicine, Medical Center Hospital, Odessa, Texas
2   Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas
,
Brittany Van Beek
2   Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas
,
Randall T. Kelly
1   Maternal Fetal Medicine, Medical Center Hospital, Odessa, Texas
2   Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas
,
Peter Hsu
2   Department of Obstetrics and Gynecology, Texas Tech University Health Science Center at the Permian Basin, Odessa, Texas
› Author Affiliations
Further Information

Publication History

01 February 2015

04 June 2015

Publication Date:
24 July 2015 (online)

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Abstract

We report a case of a cystic abdominal mass on ultrasound which presented a diagnostic dilemma at 32 weeks gestation. A presumptive antenatal diagnosis of a subcapsular liver hematoma (SCH) was made based on the location and ultrasound appearance similar to SCH seen in pediatric and adult patients. Sequential evaluation of the mass showed an evolving ultrasound appearance which reinforced our initial impression of a subcapsular hematoma of the fetal liver. Postnatal ultrasound confirmed the resolving SCH as well as a previously undetected echo bright lesion characteristic of an infantile focal hemangioma directly adjacent to the resolving SCH. A review of the literature is provided.

Keywords

liver hemangioma - subcapsular hematoma - cystic abdominal mass - prenatal diagnosis

Note

This case report was presented as a poster at the 2014 AIUM National Meeting in Las Vegas and was selected as one of the top 10 posters.


 

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