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[Rapidly involuting congenital hemangioma, diagnosed prenatally with heart failure and posnatal follow up]

Agustina Santarelli1, María Candelaria Gimenez2, María Dolores Salduna1

  • 1Hospital Privado.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|March 30, 2026
PubMed
Summary

A rare congenital vascular tumor, RICH, was diagnosed in utero and initially confused with other conditions. This case highlights the importance of accurate diagnosis for appropriate management, as the tumor resolved spontaneously postnatally.

Keywords:
tumorhemangiomaheart failure

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Area of Science:

  • Obstetrics and Gynecology
  • Pediatric Cardiology
  • Dermatology

Background:

  • Rápidamente Involucionante Congénito Hemangioma (RICH) is a rare congenital vascular tumor.
  • Intrauterine diagnosis of RICH is often challenging, frequently misdiagnosed as arteriovenous malformations or other congenital tumors.
  • Accurate differential diagnosis is crucial due to differing prognoses and management strategies.

Purpose of the Study:

  • To describe a clinical case of a RICH diagnosed prenatally.
  • To emphasize the importance of differential diagnosis in intrauterine vascular tumors.
  • To illustrate the successful conservative management and spontaneous involution of a large RICH.

Main Methods:

  • Case report of a prenatal RICH diagnosis.
  • Interdisciplinary team approach involving dermatology, neonatology, obstetrics, and imaging specialists.
  • Postnatal follow-up until complete tumor involution.

Main Results:

  • The RICH presented with signs of incipient heart failure.
  • The tumor underwent complete and spontaneous involution postnatally with minimal sequelae.
  • Accurate diagnosis prevented unnecessary invasive interventions.

Conclusions:

  • Prenatal diagnosis of RICH should be considered among intrauterine high-flow vascular tumors.
  • Accurate differential diagnosis is essential to avoid unnecessary interventions.
  • Conservative management and close monitoring are key for RICH.