A case of diaphragmatic infantile hemangioma

Successful embolization and long-term follow-up of a rare neonatal diaphragmatic hemangioma

“…The general principle of management of hemangiomas in children has been fully discussed in our radiologists’ report. 5 In the present case, the baby required sustained ventilation support and chest drainage accompanied with incomplete feeding due to abundant hydrothorax; therefore, rapid removal of the lesion was indicated. After the risks and benefits of possible therapy options for a premature baby were weighed carefully, including long duration treatment of steroids or propranolol, interventional embolization, or surgical excision, we chose the embolization of the major feeding vessels as the initial therapy.…”

“…Initially, it was defined as an infantile hemangioma (IH) by our radiologists. 5 However, in retrospection of the fetal ultrasound images, we had to admit that the hyperechogenic giant mass adjacent to the right diaphragm was totally missed by our prenatal diagnosis. Therefore, the solitary lesion, which showed early intense enhancement and late diffuse homogeneous hypervascularization on MDCT and MRI, was large and fully formed antenatally, eventually involuted almost completely at 18 months without a significant postnatal proliferative phase.…”

“…We have found only five cases of a primary hemangioma in neonate. [1][2][3][4][5] One was reported by our radiologists with interest in the characteristics of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI). This is a neonate with right diaphragmatic hemangioma presenting with massive pleural effusion and respiratory distress, which underwent successful embolization.…”

Laparoscopic resection of a rare diaphragmatic haemangioma: a case report

“…6 A search of the PubMed V R database identified 10 case reports on diaphragmatic haemangiomas published in English. 3,[6][7][8][9][10][11][12][13][14][15] A definitive preoperative diagnosis of diaphragmatic haemangioma is difficult to obtain on imaging due to its physiological characteristics. A similar situation exists with other haemangiomas.…”