Multislice spiral computed tomography in a neonate with symptomatic non-involuting congenital hemangioma

Abstract

A full-term female was delivered with a 4×6-cm soft, hemispheric and blue-colored tumor on the right temporal scalp behind the ear. The present patient developed tachypnea and feeding difficulty soon after birth. Ultrasound examination revealed typical findings of congenital hemanigoma. Multislice spiral computed tomography (MSCT) was performed prior to endovascular coil embolization. MSCT showed that the tumor consisted of tortuous and irregular vessels with feeding arteries including the right occipital artery, the right superficial temporal artery and the right posterior auricular artery. At 12 months of age, the hemangioma remained unchaned, which was consistent with non-involuting congenital hemangioma. We consider that MSCT is a useful and non-invasive imaging tool to depict the precise vascular structure of congenital hemangioma even in a neonate. We present herewith a case of a neonate with non-involuting congenital hemangioma (NICH) who had symptoms related to arteriovenous shunts. Transcatheter coil embolization or surgical resection is occasionally performed in a symptomatic patient with NICH [3]. We studied multislice spiral computed tomography (MSCT) prior to transcathter coil embolization to evaluate the vascular structure in a symptomatic neonate with NICH. MSCT is one of useful imaging tools to depict vascular structures of congenital hemanigoma.