Hemangioendothelioma of liver and spleen: trauma-induced consumptive coagulopathy |
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Authors: | Goyal Anju Babu S Nagesh Kim Vaiphei Katariya S Rao K L N |
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Affiliation: | From the Department of Pediatric Surgery, Pathology, and Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India. |
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Abstract: | The case of a 9-year-old boy with hemangioendothelioma of the liver and spleen who presented with consumptive coagulopathy one month after sustaining a blunt trauma to his abdomen is reported. A contrast enhanced computed tomography scan of the abdomen showed a ruptured spleen with multiple lesions in the liver that were enhancing with contrast. On exploration, the child was found to have splenic rupture with multiple vascular lesions of the liver. A splenectomy with liver biopsy was done. The histopathologic examination found that both the liver and spleen had a similar tumor morphology characteristic of an epithelioid and spindle cell hemangioendothelioma. The child ultimately died of relentless consumptive coagulopathy. J Pediatr Surg 37:E29. |
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