Rapidly Involuting Congenital Hemangioma

摘要

A newborn male, delivered by Caesarean section after inductionat 41 weeks of gestation for failure to progress, was admitted to theWomen and Infants’ Hospital (WIH) Neonatal Intensive CareUnit (NICU) with a large vascular mass on his left knee (Figure1). Routine prenatal US had been normal and the pregnancy hadbeen uneventful. Physical examination at delivery was otherwiseunremarkable. In addition to the WIH NICU team, the babywas followed clinically by pediatric surgical and interventionalmembers of the Hasbro Children’s Hospital Vascular AnomaliesClinic (HVAC). On day two in the NICU, the patient developedsigns of congestive heart failure. A chest radiograph demonstratedpulmonary edema and mild cardiomegaly (not shown). On day14, the lesion began to bleed briskly.