Differential diagnosis of hepatomegaly in children. A rare pediatric case: Infantile multifocal hepatic hemangioma. Case report

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Abstract

Hepatomegaly is one of the most common symptoms in children. Liver enlargement can be observed in any infectious and non-infectious inflammatory disease, be an early clinical sign of acute leukemia, systemic connective tissue disease, liver neoplasms, congenital metabolic disorders, circulatory and respiratory failure, helminthiases, toxic effects of drugs, abnormalities of the biliary tract, etc. In the vast majority of cases, the simple examination methods that have long become routine in pediatrician practice help to identify the cause of hepatomegaly: abdominal ultrasound, complete blood count, and blood chemistry. The article presents a rare case of infantile multifocal hepatic hemangioma in a girl in early infancy, which required a long diagnostic search involving various specialists.

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About the authors

Aleksandra N. Goryainova

Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: alex.goriaynowa@yandex.ru
ORCID iD: 0009-0009-9339-4152

Cand. Sci. (Med.)

Russian Federation, Moscow

Ismail M. Osmanov

Pirogov Russian National Research Medical University; Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru
ORCID iD: 0000-0003-3181-9601

D. Sci. (Med.), Prof.

Russian Federation, Moscow; Moscow

Irina D. Maykova

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru
ORCID iD: 0000-0003-2700-2607

Cand. Sci. (Med.)

Russian Federation, Moscow

Irina G. Kolomina

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

Head of Endocrinology Department

Russian Federation, Moscow

Tatiana R. Lavrova

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

Head of Ultrasound Diagnostics Department

Russian Federation, Moscow

Larisa N. Lukankina

Voronezh Regional Children’s Clinical Hospital No. 1

Email: alex.goriaynowa@yandex.ru

Cand (Sci.) Med.

Russian Federation, Voronezh

Sergei S. Bukin

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

endocrinologyst

Russian Federation, Moscow

Ludmila V. Goncharova

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

gastroenterologist

Russian Federation, Moscow

Olga I. Elfimova

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

pediatrician

Russian Federation, Moscow

Natalia V. Koroid

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

Head of the Infectious Diseases Department No. 3

Russian Federation, Moscow

Natalia E. Kuzina

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

pediatrician

Russian Federation, Moscow

Iuliia A. Riapolova

Bashlyaeva Children’s City Clinical Hospital

Email: alex.goriaynowa@yandex.ru

pediatrician

Russian Federation, Moscow

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2. Fig. 1. Multiple masses in the liver up to 4 cm in diameter.

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