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Pathological Case of the Month
Ziwen Guo, MD, PhD;
Sunita Chandra, MD
From the Department of Pathology and Laboratory Medicine, University of Wisconsin Hospital, Madison.
Arch Pediatr Adolesc Med. 2001;155:737-738.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A FEMALE INFANT was delivered vaginally at 36 weeks' gestation to a 32-year-old gravida 2, para 1 mother. At birth, a subcutaneous mass measuring 6 x 5 x 2.5 cm in diameter was noted in the left parieto-occipital region of the scalp. A computed tomographic scan of the head showed a soft tissue subcutaneous dense lesion with calcification consistent with large hemangioma (Figure 1). Owing to ulceration of skin overlying the hemangioma, the lesion was surgically removed. Blood loss required multiple transfusions during surgery. The patient developed hypotension, asystolic rhythm, and died despite vigorous resuscitation efforts. A surgical specimen showed proliferation of blood-filled, thin-walled, endothelial-lined immature small vessels separated by connective tissue (Figure 2). At autopsy there were diffuse petechial hemorrhages on the front chest and both upper arms, ranging from 0.1 to 0.3 cm. Both lungs had diffuse . . . [Full Text of this Article]
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