A three-year-old male child presented to a pediatric emergency department due to a sudden onset of abdominal pain, diarrhea, and drowsiness. His condition rapidly worsened, and he lost consciousness, going into cardio-respiratory arrest. Attempts at resuscitation were unsuccessful, and the child was declared dead. The patient’s birth weight was between the 25 th -50 th percentile.
Post-mortem exam Non-contrast CT imaging of the abdomen revealed a hypointense mass in the right hepatic lobe and free peritoneal fluid. (Figure 1) Slightly distended abdomen Negative for any sign of trauma or contusions Autopsy findings 350 cc of hematic fluid in the peritoneal cavity (Figure 2A) Multilobular mass — 9cm x 10cm x 7 cm with signs of infarction The mass was present on hepatic segment V and adhered laterally to the round ligament and the falciform ligament. (Figure 2B) Originated from the…
