A case of a fetal hepatic hemangioma, complicated by dilated cardiomyopathy, is presented. In cases of large arteriovenous shunting, emergent treatment is often required following delivery due to ensuing renal failure, pulmonary hypertension, congestive heart failure, and coagulopathy. A thorough perinatal sonogram performed at a screening facility detected the anomaly, providing the patient and her physician time to arrange for a delivery at a tertiary-care center that could accommodate such a critically ill patient.
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