Neonatal Diaphragmatic Hemangioma associated with Diffuse Neonatal Hemangiomatosis treated with Coil Embolization

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.