婴儿血管瘤合并先天性门体静脉分流1例OA

A case of infantile hemangioma complicated with congenital portosystemic shunt is reported.A 2-month and 7-day-old boy presented with scattered red skin lesions and yellowish skin for over 2 months,and aggravated for 1 week.The dermatology examination revealed about 54 scattered red and dark red plaques of various sizes with a soft texture and clear boundaries.Ab-dominal ultrasound showed hyperechoic nodules(1 cm × 0.8 cm)in the right lobe of the liver and enlarged spleen with heterogeneous echogenic nodules,along with multiple vascular branches be-tween the middle hepatic vein and the sagittal portal vein,in which blue blood flow signal was vis-ible.CT of the upper abdomen showed multiple irregular low-density shadows in the liver,and the lesions were significantly enhanced on the enhancement scan,and large blood vessels were visible in the lesions.Diagnosis:Infantile hemangioma;Congenital portosystemic shunt complicated with arteriovenous fistula;Cytomegalovirus disease.After treatment with oral propranolol,the cutane-ous hemangioma almost completely subsided and the CPSS branches were closed.The child grew and developed normally during a 1-year follow-up.