PMID: 11912541Mar 26, 2002Paper

Life-threatening hemorrhage from a vulvar hemangioma

Journal of Pediatric Surgery
G L BavaU Rossi

Abstract

Capillary hemangioma, the most common tumor of infancy, usually does not require any treatment, but in a minority of cases it may cause morphologic, functional, or life-threatening complications. The authors report a case of a vulvar emangioma complicated by life-threatening hemorrhage not responsive to corticosteroids therapy, which showed no signs of spontaneous involution. The therapeutic approach consisted of 3 steps of selective arterial embolizations followed 5 months later by surgical excision and reconstruction of the vulva. Selective embolization rarely is used in the treatment of hemangiomas but may be required in cases of intractable bleeding, severe heart failure, large and poorly involuting hemangiomas, and as preparation for surgery. The results of the combined approach in this case are reported, and the indications discussed.

Citations

Aug 20, 2009·Pediatric Dermatology·Elizabeth Alvarez ConnellyMilton Waner
May 11, 2017·Pediatric Dermatology·Jacob W CharnyJames R Treat
Jan 26, 2013·The American Journal of Dermatopathology·John A PapalasMaria A Selim
Sep 25, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M L MessinaE C Baracat
May 9, 2006·Journal of Pediatric Surgery·Adam M VogelSteven J Fishman
Nov 5, 2021·Obstetrics and Gynecology·Stephanie ChowNichole A Tyson

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