Abstract
A rare case of an ulcerated hemangioma of the upper arm in a neonate is described herein. Resection of the huge hemangioma, which occupied the axilla and extended down the entire length of the upper arm, was necessary due to massive hemorrhage from the ulcer and progressive heart failure caused by the arteriovenous fistulae in the hemangioma. After complete resection of the hemangioma, extensive defects of the skin and subcutaneous tissue were replaced by a skin flap closure technique which involved considerable difficulty. However, the arm gradually recovered its size and function with good wound healing. The present case illustrates that rapid surgical intervention may be required to prevent clinical deterioration in such cases.
Similar content being viewed by others
References
Loflard GK, Filston HC (1987) Giant cutaneous hemangioma associated with axillary arteriovenous fistula causing congestive cardiac failure in the newborn infant. J Pediatr Surg 22:458–460
Woolley MM, Stanley P, Wesley JR (1977) Peripherally located congenital arteriovenous fistulae in infancy and childhood. J Pediatr Surg 12:165–176
Currie BG, Schell D, Bowring AC (1991) Giant hemangioma of the arm associated with cardiac failure and the Kasabach-Merritt syndrome in a neonate. J Pediatr Surg 26:734–737
Stanley P, Grinnell VS, Stanton RE, Williams KW, and Shore NA (1983) Therapeutic embolization of infantile hepatic hemangioma with polyvinyl alcohol. AJR 141:1047–1051
Argenta LC, Bishop E, Cho KJ, Andrews AF, Coran AG (1982) Complete resolution of life threatening hemangioma by embolization and corticosteroids. Plast Reconstr Surg 70:739–742
Stanley RJ, Cubillo E (1975) Nonsurgical treatment of arteriovenous malformations of the trunk and limb by transcatheter arterial embolization. Radiology 115:609–612
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakada, K., Kawada, T., Fujioka, T. et al. Hemangioma of the upper arm associated with massive hemorrhage in a neonate. Surg Today 23, 273–276 (1993). https://doi.org/10.1007/BF00309241
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00309241