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Abstract
Neonatal diaphragmatic hemangioma (NDH) with diffuse neonatal hemangiomatosis has rare incidence. Hydrops fetalis can be found on prenatal ultrasonography and pleural effusion, pericardial effusion, and ascites can be found on postnatal ultrasonography. NDH can be treated with medical, interventional and surgical methods. We report a rare case of NDH which was successfully treated by coil embolization. The patient presented with cardiac tamponade, respiratory distress and abdominal distension are observed after birth due to massive fluid production by diaphragmatic hemangioma. Two times of interventional coil-embolization has made the infant's symptoms and signs alleviated through decreasing massive fluid collected in pericardial, pleural and abdominal space.
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Fig. 1
Radiograph showed a mass in the right lower hemithorax. Bilateral pleural effusion and ascites were observed.
Fig. 2
Chest computed tomography axial image (A), coronal image (B) showed 5×5×2 cm sized, lobulated, multiseptated enhancing mass between heart and diaphragm.
Fig. 3
(A) Thoracic aortography showed inferior vena cava interruption and hemagiomatous mass supplied by right internal mammary artery and both inferior phrenic arteries. (B) Coil embolization. Right internal mammary artery was embolized with Interlock coils (4 mm×8 cm, 3 mm×6 cm) (empty arrow). Left inferior phrenic artery was embolized with Tornado coil (3 mm×2 cm).
Fig. 4
Multiple purpuric to erythematous nodules and macules over the right cheek, right foot, posterior neck, and left preauricular region.
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