RICH (Rapidly Involuting Congenital Hemangioma): Not Only a Definition of Wealth

Abate, Maria Valentina; Davanzo, Riccardo; Bibalo, Chiara; Zennaro, Floriana; Berti, Irene

doi:10.1016/j.jpeds.2012.02.036

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…1 Two subsets of CHs–rapidly involuting congenital hemangiomas (RICHs) and non-involuting congenital hemangiomas (NICHs)–have been previously described based on their clinical course. 2 Many of these CHs require no active treatment during the postnatal period; however, life-threatening complications may arise. 3 Here, we present a report of a high-risk premature infant with a suspected large right parietal scalp RICH (sRICH) and associated high-output cardiac failure treated by successful endovascular therapy at our institution.…”

Section: Introductionmentioning

confidence: 99%

Scalp congenital hemangioma with associated high-output cardiac failure in a premature infant: Case report and review of literature

et al. 2016

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Introduction Scalp congenital hemangiomas (CHs) are rare vascular malformations among infants; they can be associated with an array of complications, including cardiac and cosmetic issues. Here, we report the endovascular treatment of a premature infant with a suspected large right parietal scalp hemangioma and associated high-output cardiac failure. Case description A two-day-old female premature infant (29 weeks gestational age; 1330 g birth weight) was referred by the neonatologists to our department for consultation and potential treatment of a large right parietal CH causing abrupt hypotension and high-output cardiac failure. Doppler ultrasound imaging at bedside revealed areas of arterial-venous shunting from the scalp and the presence of a superior sagittal sinus waveform, consistent with intracranial venous drainage. To alleviate cardiac dysfunction secondary to this lesion, trans-arterial embolization via n-butyl cyanoacrylate (nBCA) glue and deployment of detachable coils was performed via umbilical artery to occlude the right superficial temporal and occipital artery branches supplying the CH. Following treatment, the infant continued to require ventilator management, vasopressor support, and correction of coagulopathy, but by post-operative day two, her condition improved remarkably and the mass size began decreasing. The patient was discharged after a relatively uncomplicated subsequent 2½-month course in the neonatal intensive care unit. Conclusion Endovascular therapy proved effective and safe in treating cardiac failure associated with scalp CH, despite potential complications associated with neuro-interventional surgery in premature infants. Appropriate consideration in this patient population should be given to factors including blood loss, contrast use, radiation exposure, operative time, and possible intra-/post-operative complications.

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Section: Introductionmentioning

confidence: 99%

Scalp congenital hemangioma with associated high-output cardiac failure in a premature infant: Case report and review of literature

et al. 2016

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“…It is generally considered as a congenital condition [1]. Because it often invades the surrounding tissues, it is difficult to excise the tumor completely and it easily has a local recurrence [2–4].…”

Section: Introductionmentioning

confidence: 99%

A rare atypical rapidly involuting congenital hemangioma combined with vascular malformation in the upper limb

et al. 2016

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BackgroundRapidly involuting congenital hemangioma is a congenital soft tissue tumor, which is difficult to excise completely and rather prone to recur. This atypical tumor combined with capillary-lymphatic-venous malformation was not reported in the literature.Case presentationWe report an atypical case of a 16-year-old teenager who was born with a mass in his right upper limb. Since there is a recurrence after excision for several times and had a serious impact on daily life, we chose amputation. After the surgery, the patient gained a functional recovery. Two years after the surgery, he had no tumor recurrence.ConclusionsFor this rare tumor with repeated recurrences and significant impact on daily life, we suggest performing amputation at the early stage.

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“…A complete regression at 9 month of age was observed, leaving atrophic skin, telangiectasias and redundancy of fibrous and adipose tissue (figure 3). RICH is a distinct form of congenital haemangioma, originated in utero that proliferates during pregnancy with a rapid postnatal involution within the first year of life 1. RICHs are solitary raised violaceous tumours with a rounded shape located on the head or near a joint 1 2.…”

mentioning

confidence: 99%

“…RICH is a distinct form of congenital haemangioma, originated in utero that proliferates during pregnancy with a rapid postnatal involution within the first year of life 1. RICHs are solitary raised violaceous tumours with a rounded shape located on the head or near a joint 1 2. The diagnosis is clinical and the follow-up confirms it.…”

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confidence: 99%

Rapidly involuting congenital haemangioma

Schafer

Tapia

Pinto

2013

Arch Dis Child Fetal Neonatal Ed

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RICH (Rapidly Involuting Congenital Hemangioma): Not Only a Definition of Wealth

Cited by 5 publications

References 6 publications

Scalp congenital hemangioma with associated high-output cardiac failure in a premature infant: Case report and review of literature

Scalp congenital hemangioma with associated high-output cardiac failure in a premature infant: Case report and review of literature

A rare atypical rapidly involuting congenital hemangioma combined with vascular malformation in the upper limb

Rapidly involuting congenital haemangioma

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