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Management of a large bronchial haemangioma in an infant
K Watters1, A O'Marcaigh, G Canny
1Department of Paediatric Otorhinolaryngology, Our Ladys' Hospital for Sick Children, Crumlin, Dublin 12, Ireland. karwatters@hotmail.com
Insights
Infantile haemangiomas are common, but airway haemangiomas are rare and dangerous. A 9-week-old infant
Area of Science:
- Pediatric Oncology
- Thoracic Surgery
- Neonatology
Background:
- Haemangiomas are the most frequent soft tissue tumors in infants.
- While cutaneous haemangiomas are typically benign, airway haemangiomas pose significant life-threatening risks.
- The incidence and management of airway haemangiomas require further investigation.
Observation:
- A case of a 9-week-old infant presented with a left main stem bronchial haemangioma.
- The infant's respiratory status was compromised due to the bronchial obstruction.
- Diagnostic imaging confirmed the presence and location of the haemangioma.
Findings:
- The bronchial haemangioma was successfully treated with oral corticosteroids.
- This non-invasive treatment approach led to a positive clinical outcome.
- The infant showed significant improvement following corticosteroid therapy.
Implications:
- This case highlights the efficacy of oral corticosteroids in managing airway haemangiomas.
- It underscores the importance of individualized treatment strategies for haemangiomas.
- Early diagnosis and prompt intervention are crucial for managing potentially life-threatening haemangiomas.
Abstract:
Haemangiomas are the most common soft tissue tumor of infancy. Despite the benign and trivial nature of most cutaneous haemangiomas, airway haemangiomas are rare but potentially life threatening. We report the case of a 9-week-old infant with a left main stem bronchial haemangioma. This was successfully treated with the oral corticosteroids. We discuss the current available treatments for haemangiomas and highlight that treatment should be specific to each individual case.