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Case Report
Intramuscular
haemangiomas in the new born: a report of 2 cases showing
physical and plain film radiographic findings with
ultrasonographic correlation.
1Erondu
Okechukwu Felix, 1Okoro Chinedum Richards, 2Ugwu
Anthony Chukwuka, 3Aniemeka Joy Ifeanyi
1Department of clinical Imaging, Image Diagnostics, Port Harcourt,
Nigeria
2Department of Radiography, Nnamdi Azikiwe University, Awka, Nigeria
3Department of Radiology, University of Port Harcourt Teaching
Hospital, Port Harcourt
*Corresponding
author email:
okerons@yahoo.com Tel. +2348023129893
Received 13 February, 2010; Accepted 17 March, 2010
Abstract
Although intramuscular haemangiomas are relatively common
benign soft tissue tumors, the classical appearances on
plain film radiographs and ultrasonographic correlation
have been scarcely reported, particularly in the new born.
Diagnostic criteria on plain radiographs include presence of
a lobulated appearance, heterogeneity, speculated areas,
calcification and sparing of adjacent bony structures. Color
Doppler ultrasound findings include lobulation, serpentine
or tubular echo-free spaces, positive Doppler signals (peak
arterial Doppler shift exceeding 2 KHz and evidence of
vascularity.Whereas MRI and CT provide excellent and more
reliable diagnostic information, plain film radiography and
Doppler ultrasound, jointly provide an atraumatic, easy,
cheap and available means of diagnosis with a reasonable
degree of accuracy. Furthermore, since ultrasound can be
performed on a first clinic visit, the success can be
reassuring to the family, and obviate the need for more
expensive cross-sectional imaging or biopsy requiring
anaesthesia, both of which may be difficult when dealing
with a newborn. We report 2 cases involving 2 and 4 month
old female babies with intramuscular haemangioma of the
lateral abdominis and upper extremity respectively.
Keywords:
Intramuscular, haemangioma, newborn, plain film,
ultrasonographic, doppler
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