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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Mesenteric infantile hemangioma: diagnostic work-up
Francesco Esposito1, Marco Di Serafino2, Rosa Severino3
1Radiology Department, Santobono Hospital, Napoli, Italy.
Quantitative Imaging in Medicine and Surgery
|April 21, 2018
Summary
Infantile hemangioma (IH) in the mesentery is rare and can cause bleeding. Conservative propranolol treatment successfully resolved the lesion in a 45-day-old infant, showing promise for similar cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Infantile hemangioma (IH) typically affects the skin but can occur in visceral locations.
- Mesenteric IH is exceptionally rare, often presenting with severe complications like bleeding.
Observation:
- A 45-day-old infant presented with anemia and poor growth.
- Imaging revealed an uncommon infantile hemangioma of the mesentery.
Findings:
- Conservative treatment with propranolol led to complete resolution of the mesenteric IH.
- Ultrasound and MR imaging characteristics of this rare lesion were analyzed to guide therapy monitoring.
Implications:
- Propranolol is an effective treatment for mesenteric IH, even in neonates.
- Radiological features are crucial for diagnosing and monitoring treatment response in these rare cases.
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