Case Report
Year: 2022 | Month: December | Volume: 9 | Issue: 12 | Pages: 241-246
DOI: https://doi.org/10.52403/ijrr.20221225
Mediastinal Lobular Capillary Haemangioma in Children with Severe Airway Obstruction Symptom: A Case Report
I Kadek Serisana Wasita1, Ayu Setyorini M. Mayangsari2, Ni Putu Siadi Purniti1, Ida Bagus Subanada1, Dyah Kanya Wati1, I Nyoman Budi Hartawan1, I Wayan Sudarma3, Luh Putu Iin Indrayani Maker4, Santi Siahaan4
1Department of Child Health, Faculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar/Bali, Indonesia
2Department of Child Health, Faculty of Medicine Udayana University/Udayana University Hospital, Badung/Bali, Indonesia
3Thoracic and Cardiovascular Division, Department of Surgery, Faculty of Medicine Udayana University/ Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar/Bali, Indonesia
4Department of Anatomical Pathology, Faculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar/Bali, Indonesia
Corresponding Author: I Kadek Serisana Wasita
ABSTRACT
Background: Lobular capillary haemangioma (LCH) is a polypoid form of capillary haemangioma occurring on the skin and mucosal surfaces. While LCH of the oral and nasal cavity is well-known entity, mediastinal localization is a rare case. In children, LCH is frequently benign.
Case illustration: A two month age baby girl experienced recurrent inspiratory stridor since she was 42 days-old and diagnosed as laryngomalacia. Due to the widening of mediastinal area from chest x-ray, a chest CT-scan was conducted and showed a mass in the mediastinal area. A sternotomy was done and found mass filled the mediastinal space. Some parts of the mass found to depress the trachea. Mediastinal tumor resection procedure done. A definitive pathology anatomy result was a lobular capillary haemangioma. After surgery, stridor gradually improves.
Summary: We reported this rare mediastinal lobular capillary haemangioma case that was initially diagnosed with laryngomalacia After removal of the tumor, the stridor gradually improved.
Keywords: Lobular capillary haemangioma, pyogenic granuloma, mediastinal tumor, stridor, children
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