[Successful treatment with prednisone in a critical ill newborn with symptomatic multifocal infantile hepatic hemangioendothelioma]. / Tratamiento exitoso con prednisona en un recién nacido crítico con hemangioendotelioma hepático infantil multifocal sintomático.

Infantile hepatic hemangioendothelioma is the most common vascular tumor of the liver in infancy. The diagnosis can be enunciated without histological defnition, if the clinical, analytical and images fndings are very suggestive; particularly in children less than six months old, because the biopsy is not exempt of complications. We report a female patient, four days old and 3500 g, who developed a hypovolemic shock as a complication of the biopsy from a multifocal infantile hepatic hemangioendothelioma. She developed clinical manifestations of cardiac failure and thrombocytopenia. Because of the critical clinical status we choose the medical treatment with prednisone which was administered for fve month and complete remission of the tumor was obtained. We highlight the Doppler ultrasonography as a safe and no invasive diagnosis method. Management of this disease is commented as well.

Tratamiento exitoso con prednisona en un recién nacido crítico con hemangioendotelioma hepático infantil multifocal sintomático / Successful treatment with prednisone in a critical ill newborn with symptomatic multifocal infantile hepatic hemangioendothelioma

El hemangioendotelioma hepático infantil es el tumor vascular del hígado más frecuente en los niños. El diagnóstico se puede plantear sin una confrmación histológica cuando los hallazgos clínicos, analíticos e imagenológicos son muy sugestivos, sobre todo en los niños menores de 6 meses, ya que la biopsia no está exenta de complicaciones graves. Se presenta una paciente de 4 días de vida y 3500 g de peso, que sufrió un shock hipovolémico como complicación de la biopsia de un hemangioendotelioma hepático infantil multifocal, y posteriormente manifestaciones clínicas de insufciencia cardíaca y plaquetopenia. Por el estado crítico de la niña, se escogió el tratamiento con prednisona, que se mantuvo durante 5 meses, y se obtuvo la remisión completa del tumor. Se resalta la importancia de la ecografía Doppler como medio diagnóstico seguro y no invasivo, y se comenta la conducta ante esta enfermedad.

Infantile hepatic hemangioendothelioma is the most common vascular tumor of the liver in infancy. The diagnosis can be enunciated without histological defnition, if the clinical, analytical and images fndings are very suggestive; particularly in children less than six months old, because the biopsy is not exempt of complications. We report a female patient, four days old and 3500 g, who developed a hypovolemic shock as a complication of the biopsy from a multifocal infantile hepatic hemangioendothelioma. She developed clinical manifestations of cardiac failure and thrombocytopenia. Because of the critical clinical status we choose the medical treatment with prednisone which was administered for fve month and complete remission of the tumor was obtained. We highlight the Doppler ultrasonography as a safe and no invasive diagnosis method. Management of this disease is commented as well.

Tratamiento exitoso con prednisona en un recién nacido crítico con hemangioendotelioma hepático infantil multifocal sintomático / Successful treatment with prednisone in a critical ill newborn with symptomatic multifocal infantile hepatic hemangioendothelioma

El hemangioendotelioma hepático infantil es el tumor vascular del hígado más frecuente en los niños. El diagnóstico se puede plantear sin una confrmación histológica cuando los hallazgos clínicos, analíticos e imagenológicos son muy sugestivos, sobre todo en los niños menores de 6 meses, ya que la biopsia no está exenta de complicaciones graves. Se presenta una paciente de 4 días de vida y 3500 g de peso, que sufrió un shock hipovolémico como complicación de la biopsia de un hemangioendotelioma hepático infantil multifocal, y posteriormente manifestaciones clínicas de insufciencia cardíaca y plaquetopenia. Por el estado crítico de la niña, se escogió el tratamiento con prednisona, que se mantuvo durante 5 meses, y se obtuvo la remisión completa del tumor. Se resalta la importancia de la ecografía Doppler como medio diagnóstico seguro y no invasivo, y se comenta la conducta ante esta enfermedad.(AU)

Infantile hepatic hemangioendothelioma is the most common vascular tumor of the liver in infancy. The diagnosis can be enunciated without histological defnition, if the clinical, analytical and images fndings are very suggestive; particularly in children less than six months old, because the biopsy is not exempt of complications. We report a female patient, four days old and 3500 g, who developed a hypovolemic shock as a complication of the biopsy from a multifocal infantile hepatic hemangioendothelioma. She developed clinical manifestations of cardiac failure and thrombocytopenia. Because of the critical clinical status we choose the medical treatment with prednisone which was administered for fve month and complete remission of the tumor was obtained. We highlight the Doppler ultrasonography as a safe and no invasive diagnosis method. Management of this disease is commented as well.(AU)

Tratamiento exitoso con prednisona en un recién nacido crítico con hemangioendotelioma hepático infantil multifocal sintomático. / [Successful treatment with prednisone in a critical ill newborn with symptomatic multifocal infantile hepatic hemangioendothelioma].

Infantile hepatic hemangioendothelioma is the most common vascular tumor of the liver in infancy. The diagnosis can be enunciated without histological defnition, if the clinical, analytical and images fndings are very suggestive; particularly in children less than six months old, because the biopsy is not exempt of complications. We report a female patient, four days old and 3500 g, who developed a hypovolemic shock as a complication of the biopsy from a multifocal infantile hepatic hemangioendothelioma. She developed clinical manifestations of cardiac failure and thrombocytopenia. Because of the critical clinical status we choose the medical treatment with prednisone which was administered for fve month and complete remission of the tumor was obtained. We highlight the Doppler ultrasonography as a safe and no invasive diagnosis method. Management of this disease is commented as well.