Pediatric Radiology

, Volume 33, Issue 1, pp 15–19

Angiographic features of rapidly involuting congenital hemangioma (RICH)

  • Orhan Konez
  • Patricia E. Burrows
  • John B. Mulliken
  • Steven J. Fishman
  • Harry P. Kozakewich
Case Report

Abstract.

Rapidly involuting congenital hemangioma (RICH) is a recently recognized entity in which the vascular tumor is fully developed at birth and undergoes rapid involution. Angiographic findings in two infants with congenital hemangioma are reported and compared with a more common postnatal infantile hemangioma and a congenital infantile fibrosarcoma. Congenital hemangiomas differed from infantile hemangiomas angiographically by inhomogeneous parenchymal staining, large and irregular feeding arteries in disorganized patterns, arterial aneurysms, direct arteriovenous shunts, and intravascular thrombi. Both infants had clinical evidence of a high-output cardiac failure and intralesional bleeding. This congenital high-flow vascular tumor is difficult to distinguish angiographically from arteriovenous malformation and congenital infantile fibrosarcoma.

Infantile hemangioma Congenital hemangioma Rapidly involuting congenital hemangioma (RICH) Arteriography MRI Congenital fibrosarcoma Arteriovenous malformation (AVM) GLUT-1 

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Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Orhan Konez
    • 1
  • Patricia E. Burrows
    • 1
  • John B. Mulliken
    • 2
  • Steven J. Fishman
    • 3
  • Harry P. Kozakewich
    • 4
  1. 1.Department of Radiology, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
  2. 2.Division of Plastic Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
  3. 3.Department of Pediatric Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
  4. 4.Department of Pathology, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
  5. 5.Present address: Vascular and Interventional Radiology, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA

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