Congenital hepatic haemangioma leading to multiple organ fai
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Congenital haemangioma is a vascular tumor. The liver is the second organ involved after the skin. This tumor can be asymptomatic but can also lead to death. A premature male was admitted to our hospital following detection of a hepatic mass on ultrasound associated with severe liver failure, haemolysis and thrombopenia on blood tests. He was delivered by caesarean section at 35 weeks gestational age because of abnormal cardiac rhythm. The pregnancy was marked by polyhydramnios. At birth, the baby was in asystolia, with an Apgar score of 0/4/5. Despite spontaneous breathing, a tracheal intubation was necessary because of a huge hepatomegaly compressing the lungs. Clinical examination also revealed hydrops and systemic hypotension. Relevant abnormalities found on echocardiography were ventricular hypertrophy and pulmonary arterial hypertension.

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