Neonatal Airway Compromise by a Giant Cervicothoracic Venous Haemangioma
Published: February 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/23848.9406
Janardhan Shenoy, Anita Coutinho, Sowmini P Kamath, Suresh Pai, Santosh PV Rai
1. Associate Professor, Department of Paediatrics, Kasturba Medical College, Mangalore, Karnataka, India.
2. Associate Professor, Department of Paediatrics, Kasturba Medical College, Mangalore, Karnataka, India.
3. Associate Professor, Department of Paediatrics, Kasturba Medical College, Mangalore, Karnataka, India.
4. Professor, Department of Cardiothoracic Surgery, Kasturba Medical College, Mangalore, Karnataka, India.
5. Associate Professor, Department of Radiodiagnosis, Kasturba Medical College, Mangalore, Karnataka, India.
Correspondence
Dr. Sowmini P Kamath,
Associate Professor, Department of Paediatrics, Kasturba Medical College,
Light House Hill Road, Mangalore -575 001, Karnataka, India.
E-mail: kamathsowmini@yahoo.com
Haemangiomas are most common non-malignant vascular tumours of infancy. Here, we describe an antenatally detected mass over the neck causing compressive respiratory compromise at birth requiring resuscitative measures at birth. The mass showed increased vascularity on Contrast Enhanced Computed Tomography (CECT) with extension upto superior mediastinum. Surgical excision was required following failure to medical measures with steroids and propranolol. Histopathology confirmed it to be a venous haemangioma. This case highlights that these benign lesions may reach large sizes and antenatal detection may help in planning effective delivery and resuscitative measures.
[
FULL TEXT ] | [ PDF]