PMC10362682_01
PMC10362682_02
generalized cutaneous hemangioma
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F1
There were small red tumors, with sharp borders, a mamelinated and tense surface, a firm consistency, varying in size from a few millimeters to 2 centimeters (Figure 1).
distended abdomen with venous circulation
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F2
Distended abdomen with collateral venous circulation, liver and spleen difficult to palpate (Figure 2).
frontal thoracoabdominal radiograph: cardiomegaly
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F3
Chest X-ray showed cardiomegaly (Figure 3).
abdominal computed tomography cross-section: hepatic angiomas
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F4
Abdominal and renal computed tomography (CT) scans showed an enlarged liver (7cm) with multiple hypodense lesions in spontaneous contrast, intensely enhanced in the periphery at arterial time with centripetal filling at portal time; the most voluminous were located and measured 22x24 mm in segment V and 27x18 mm in segment VIII (Figure 4); early enhancement of VSH and portal branches at arterial time testifying to the presence of arteriovenous fistulas; individualization of shunts between segmental portal branches and VSH (Figure 5); left pyloric ectasia without individualize obstruction; pelvic intraperitoneal effusion slide.
abdominal computed tomography cross-section: arteriovenous shunts
PAMJ-44-181-g005.jpg
PMC10362682_02_PAMJ-44-181-g005.jpg
F5
Abdominal and renal computed tomography (CT) scans showed an enlarged liver (7cm) with multiple hypodense lesions in spontaneous contrast, intensely enhanced in the periphery at arterial time with centripetal filling at portal time; the most voluminous were located and measured 22x24 mm in segment V and 27x18 mm in segment VIII (Figure 4); early enhancement of VSH and portal branches at arterial time testifying to the presence of arteriovenous fistulas; individualization of shunts between segmental portal branches and VSH (Figure 5); left pyloric ectasia without individualize obstruction; pelvic intraperitoneal effusion slide.