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01-04-2018 | Original Article

Ultrasound findings in rapidly involuting congenital hemangioma (RICH) — beware of venous ectasia and venous lakes

Authors: Stephan L. Waelti, Françoise Rypens, Amélie Damphousse, Julie Powell, Gilles Soulez, Michael Messerli, Josée Dubois

Published in: Pediatric Radiology | Issue 4/2018

Abstract

Background

Bleeding, ulceration and cardiac failure can occur in rapidly involuting congenital hemangioma (RICH). Bleeding intensity ranges from superficial to life-threatening.

Objective

To determine whether there are sonographic criteria associated with an increased risk of bleeding, ulceration or cardiac failure in RICH in order to identify children who need close monitoring or prophylactic treatment.

Materials and methods

This retrospective single-center study included RICH patients over a period of 13 years. We evaluated sonographic features of RICH on B-mode and Doppler ultrasound. We correlated the occurrence of bleeding, ulceration and cardiac failure with four sonographic findings: (1) visible vessel, (2) venous ectasia, (3) venous lake and (4) arteriovenous shunting.

Results

We included 24 patients. Ulceration occurred in five cases, bleeding in four cases, one of which was life-threatening. Cardiac failure was observed more frequently in RICH with venous lakes (P=0.028). Bleeding and ulceration appeared more frequently in RICH with venous ectasia and venous lakes. Cardiac failure was associated with the presence of venous ectasia. All children with cardiac failure or ulceration had arteriovenous shunts.

Conclusion

RICH with venous lakes on ultrasound is prone to develop bleeding, cardiac failure and ulceration. This association was only significant for cardiac failure.

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Title: Ultrasound findings in rapidly involuting congenital hemangioma (RICH) — beware of venous ectasia and venous lakes
Authors: Stephan L. Waelti
Françoise Rypens
Amélie Damphousse
Julie Powell
Gilles Soulez
Michael Messerli
Josée Dubois
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 4/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-017-4042-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound findings in rapidly involuting congenital hemangioma (RICH) — beware of venous ectasia and venous lakes

Abstract

Background

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Materials and methods

Results

Conclusion

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