Case Report

Volume: 4 | Issue: 11 | Published: Nov 15, 2020 | Pages: 371 - 375 | DOI: 10.24911/ejmcr/173-1562217480

A case report on how not to miss Kaposiform hemangioendothelioma in neonates


Authors: Yin Cheng Hew , Norliza Othman


Article Info

Authors

Yin Cheng Hew

Department of Radiology, Hospital Sultanah Aminah Johor Bahru, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor, Malaysia

Norliza Othman

Department of Radiology, Hospital Sultanah Aminah Johor Bahru, Jalan Persiaran Abu Bakar Sultan, Johor Bahru, Johor, Malaysia

Publication History

Received: July 11, 2019

Revised: September 18, 2020

Accepted: September 24, 2020

Published: November 15, 2020


Abstract


Background: Kaposiform hemangioendothelioma (KH) is an uncommon tumor in infants and children. The typical clinical presentations include ill-demarcated, red to purple, indurated plaque and are frequently complicated by the Kasabach-Merritt phenomenon (KMP), a condition of severe thrombocytopenia and consumptive coagulopathy. It might be misdiagnosed as infantile hemangioma at birth, leading to a delay in delivering optimal treatment. Therefore, imaging differential diagnosis of KH should be included in pediatric patients presented with atypical vascular lesion for timely management. Case Presentation: We present a case of a 2-month-old male child, born with right lower limb hypertrophy and bluish discoloration, initially diagnosed as a hemangioma. Magnetic resonance imaging diagnosis was suggestive of KH complicated with KMP in correlating with clinical history. Therefore, optimal treatment is possible at a time if correct diagnosis is made early. Conclusion: KH should be retained as one of the differential diagnoses in pediatric patients presenting with vascular tumor. Imaging could help in reaching the diagnosis without invasive surgical interventions in order to initiate proper treatment.

Keywords: Kaposiform hemangioendothelioma, Kasabach-Merritt phenomenon, vascular tumor, green


Pubmed Style

Yin Cheng Hew, Norliza Othman. A case report on how not to miss Kaposiform hemangioendothelioma in neonates. EJMCR. 2020; 15 (November 2020): 371-375. doi:10.24911/ejmcr/173-1562217480

Web Style

Yin Cheng Hew, Norliza Othman. A case report on how not to miss Kaposiform hemangioendothelioma in neonates. https://ejmcr.com/articles/1371 [Access: December 26, 2024]. doi:10.24911/ejmcr/173-1562217480

AMA (American Medical Association) Style

Yin Cheng Hew, Norliza Othman. A case report on how not to miss Kaposiform hemangioendothelioma in neonates. EJMCR. 2020; 15 (November 2020): 371-375. doi:10.24911/ejmcr/173-1562217480

Vancouver/ICMJE Style

Yin Cheng Hew, Norliza Othman. A case report on how not to miss Kaposiform hemangioendothelioma in neonates. EJMCR. (2020), [cited December 26, 2024]; 15 (November 2020): 371-375. doi:10.24911/ejmcr/173-1562217480

Harvard Style

Yin Cheng Hew, Norliza Othman (2020) A case report on how not to miss Kaposiform hemangioendothelioma in neonates. EJMCR, 15 (November 2020): 371-375. doi:10.24911/ejmcr/173-1562217480

Chicago Style

Yin Cheng Hew, Norliza Othman. "A case report on how not to miss Kaposiform hemangioendothelioma in neonates." 15 (2020), 371-375. doi:10.24911/ejmcr/173-1562217480

MLA (The Modern Language Association) Style

Yin Cheng Hew, Norliza Othman. "A case report on how not to miss Kaposiform hemangioendothelioma in neonates." 15.November 2020 (2020), 371-375. Print. doi:10.24911/ejmcr/173-1562217480

APA (American Psychological Association) Style

Yin Cheng Hew, Norliza Othman (2020) A case report on how not to miss Kaposiform hemangioendothelioma in neonates. , 15 (November 2020), 371-375. doi:10.24911/ejmcr/173-1562217480