Diagnosis of infantile hemangioendothelioma of the liver by triple phase computed tomography

We describe a case of a 9-month male infant who presented with abdominal lump, congestive cardiac failure and skin hemangiomas. Triple phase computed tomography (CT) showed multiple hypodense lesions of variable size in both lobes of the liver. Lesions showed peripheral enhancement in arterial phase and centripetal filling in portal venous phase. Lesions showed further centripetal progression of enhancement and enhanced uniformly in delayed phase. The diagnosis of infantile hemangioendothelioma (IHE) of the liver was suggested based on the typical triple phase CT imaging findings. This case is presented to emphasize the importance of the diagnosis of IHE of liver noninvasively by triple phase CT as needle biopsy is discouraged due to possible uncontrollable bleeding.