Un unusual case of hemangioma of the left diaphragm in a child. Successful use of Lyodura S for repair of the diaphragmatic defect

Approach to diagnosis and treatment of pediatric primary tumors of the diaphragm

“…Including our series, 41 of these tumors have been found in patients 18 years of age or less [1][2][3][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. In reviewing this cohort of patients, there is an equal incidence of PDT in boys and girls, they are found with equal frequency on the right and on the left, and most (n = 32, 78%) are malignant.…”

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

“…To the best of our knowledge, diaphragmatic hemangioma in the literature to date has only been described in six pediatric cases. 1 – 4 , 6 , 7 In the present case, the diagnosis of a rapid involuting congenital diaphragmatic hemangioma was established mainly by the clinical manifestation and radiographic characteristics of the tumor. Initially, it was defined as an infantile hemangioma (IH) by our radiologists.…”

“…In the previous pediatric cases of primary diaphragmatic hemangioma, surgical resection was performed in four patients and interventional embolization in one. 1 – 3 , 6 , 7 In 2001, Curros et al reported a neonate who was clinically asymptomatic and underwent embolization of the partly regressed diaphragmatic hemangioma at 6 months of life. 1 For the first time, we reported interventional embolization as an initial treatment for large symptomatic diaphragmatic hemangioma in a neonate.…”

“…Compared with embolization procedure, which allows preservation of the native diaphragmatic tissue and function as well, the surgical excision of the very large hemangioma of the diaphragm in neonate may encounter difficulties in primary closure of the defect produced, probably leading to diaphragmatic dysfunction after operation, particularly in the early postoperative period. 7 The efficacy of the embolization depends on better targeting of the feeding artery and the expertise of the team.…”