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KMID : 0877920120140040205
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Korean Journal of Ultrasound in Obstetrics and Gynocology
2012 Volume.14 No. 4 p.205 ~ p.209
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Prenatal Sonographic Diagnosis of Facial Congenital Hemangioma
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Kwack Jae-Young
Shim Jae-Yoon
Jeon Eun-Jin
Won Hye-Sung
Lee Pil-Ryang
Kim Ahm
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Abstract
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Prenatal diagnosis of hemangioma affecting cranio-facial and neck lesions has seldom been reported in the medical literature. Although these lesions may spontaneously regress over time, massive hemangiomas are frequently associated with life-threatening complications such as airway obstruction, coagulopathy, and high-output heart failure and they may require corticosteroid administration, surgery or interferone therapy. On prenatal, two-dimensional (2D) ultrasound, we were able to detect a hypervascular, 77 × 72 mm mass that reached the left periorbital area to forehead and extended to the left cheek. The hypervascular mass did not extend to the orbit. Mild cardiomegaly was detected by fetal echocardiography. An elective cesarean section was performed to avoid fetal trauma during delivery. Since birth, the infant developed hemolytic anemia and coagulopathy, thus suggesting Kasabach-Meritt syndrome. He was given oral prednisolone and was treated using V-beam laser. He has had no amblyopia and his hypervascular mass has almost disappeared.
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KEYWORD
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Prenatal ultrasound, Facial hemangioma, Kasabach-Meritt syndrome
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