Background: Subglottic hemangioma, especially in the absence of an evident skin lesion is a very rare congenital abnormality. Beside this rarity, the diagnosis is very challenging and needs assessment with rigid bronchoscopy and Computed Tomography (CT) angiography.
Case presentation: Here, we report the case of a 3-month-old boy with subglottic hemangioma, which was diagnosed after several visits and through several imaging procedures, including CT angiography and bronchoscopy visualization. Our case responded well to the medical treatment and was followed to find further regressions of the tumor.
Conclusion: When an infant presents with biphasic stridor and barking coughs within the first few months of the child birth, the diagnosis of a subglottic hemangioma should be kept in mind along with other differentials. |
- McCormick AA, Tarchichi T, Azbell C, Grunwaldt L, Jabbour N. Subglottic hemangioma: Understanding the association with facial segmental hemangioma in a beard distribution. International Journal of Pediatric Otorhinolaryngology. 2018 Oct 1;113:34-7.
- Darrow DH. Management of infantile hemangiomas of the airway. Otolaryngologic Clinics of North America. 2018 Feb 1;51(1):133-46.
- Nair AD, Manchanda S, Kairo A, Bhalla AS. Diagnostic dilemma in an infant with stridor: ultrasound to the rescue!. Emergency Radiology. 2022 Oct;29(5):929-32.
- Johnston J, Allen J. Subglottic Hemangioma. Laryngology: A Case-Based Approach. 2019 Oct 16:73.
- Onder SS, Gergin O, Karabulut B. A life threatening subglottic and mediastinal hemangioma in an infant. Journal of Craniofacial Surgery. 2019 Jul 1;30(5):e402-4.
- Phillips j, ruh ho. Angioma of the larynx, especially its relation to chronic laryngitis: with report of a case in a child nine months old, following measles. Review of the literature. American journal of diseases of children. 1913 Feb 1(2):123-30.
- Jung HL. Update on infantile hemangioma. Clinical and experimental pediatrics. 2021 Nov;64(11):559.
- Ding X, Zhong L, Zhang B, Lin L, Huang H, Chen M, et al. Case Report Clinical diagnosis and oral propranolol curative effect analysis of infant subglottic hemangioma. Int J Clin Exp Med. 2020;13(2):1014-22.
- Robitaille C, Fortin M, Trahan S, Delage A, Simon M. Subglottic hemangioma. Journal of Bronchology & Interventional Pulmonology. 2016 Jul 1;23(3):232-5.
- Canadas KT, Baum ED, Lee S, Ostrower ST. Case report: Treatment failure using propanolol for treatment of focal subglottic hemangioma. International journal of pediatric otorhinolaryngology. 2010 Aug 1;74(8):956-8.
- Perkins JA, Oliaei S, Garrison MM, Manning SC, Christakis DA. Airway procedures and hemangiomas: treatment patterns and outcome in US pediatric hospitals. International journal of pediatric otorhinolaryngology. 2009 Sep 1;73(9):1302-7.
- Kumar P, Kaushal D, Garg PK, Gupta N, Goyal JP. Subglottic hemangioma masquerading as croup and treated successfully with oral propranolol. Lung India. 2019 May 1;36(3):233-5.
- D’Ambrosio PD, Cardoso PF, Silva PL, Fernandes PM, Minamoto H. Management of infantile subglottic hemangioma with T-tube placement and propranolol. Jornal Brasileiro de Pneumologia. 2022 Mar 14;48(01):e20210297.
- Yang W, Wolter NE, Cushing SL, Pope E, Wolter JK, Propst EJ. Propranolol versus nadolol for treatment of pediatric subglottic hemangioma. International Journal of Pediatric Otorhinolaryngology. 2021 May 1;144:110688.
- Ganeva K, Shivachev P, Sapundzhiev N, Nikiforova L. Propranolol treatment of infantile subglottic hemangioma: a report of two cases and a literature review. Folia Medica. 2021 Aug 31;63(4):601-7.
|
