{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T02:27:55Z","timestamp":1783391275118,"version":"3.54.6"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hepatic hemangiomas are common benign liver tumors, typically asymptomatic with a low complication rate in liver transplantation (LT). However, post\u2010transplant rupture, though rare, can result in significant morbidity. This report describes the rupture of a small hepatic hemangioma in a liver graft following pediatric living donor liver transplantation (LDLT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>An 11\u2010month\u2010old boy with biliary atresia underwent LDLT using a left lateral segment from his healthy mother. Preoperative imaging revealed a 2x3 cm hemangioma in Segment III of the donor's liver. Post\u2010transplant, the child experienced significant bleeding 4\u2009h after surgery, leading to hemodynamic instability and a drop in hemoglobin. Re\u2010exploration revealed a large hematoma and rupture at the hemangioma site. Additional resection of the hemangioma and hematoma was performed. The child recovered after a prolonged ICU stay and remains well after 8\u2009years of follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Hepatic hemangiomas are generally asymptomatic, but rupture post\u2010transplant can lead to severe complications. There is no standardized approach for managing hemangiomas in liver grafts. This case highlights the need for careful evaluation of lesion size, location, and potential vascular and biliary implications in donor selection. Further research is needed to define optimal management strategies for liver graft hemangiomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While rare, hepatic hemangiomas in liver grafts require careful evaluation, with further studies needed to establish management protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70122","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T03:26:55Z","timestamp":1751340415000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Rupture of Hepatic Hemangioma Following Living Donor Liver Transplantation: A Case Report"],"prefix":"10.1111","volume":"29","author":[{"given":"Jo\u00e3o Seda","family":"Neto","sequence":"first","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8576-440X","authenticated-orcid":false,"given":"Nathalia Porto Rangel","family":"Travassos","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2622-1077","authenticated-orcid":false,"given":"Carolina M.","family":"Costa","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata","family":"Pugliese","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel R.","family":"Benavides","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Roda","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8716-3467","authenticated-orcid":false,"given":"Rodrigo","family":"Vincenzi","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7644-3372","authenticated-orcid":false,"given":"Debora Puzzi","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4712-9533","authenticated-orcid":false,"given":"Eduardo A.","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Transplantation Hospital S\u00edrio\u2010Liban\u00eas  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2016.04.001"},{"key":"e_1_2_7_3_1","first-page":"4","article-title":"Hepatic Hemangioma \u2010Review","volume":"8","author":"Bajenaru N.","year":"2015","journal-title":"Journal of Medicine and 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