title: Neonatal Airway Compromise by a Giant Cervicothoracic Venous Haemangioma.
abstract: Haemangiomas are most common non-malignant vascular tumours of infancy. Here, we describe an antenatally detected mass over the neck causing compressive respiratory compromise at birth requiring resuscitative measures at birth. The mass showed increased vascularity on Contrast Enhanced Computed Tomography (CECT) with extension upto superior mediastinum. Surgical excision was required following failure to medical measures with steroids and propranolol. Histopathology confirmed it to be a venous haemangioma. This case highlights that these benign lesions may reach large sizes and antenatal detection may help in planning effective delivery and resuscitative measures.
authors.affiliation: Associate Professor, Department of Paediatrics, Kasturba Medical College , Mangalore, Karnataka, India .
authors.forename: Janardhan
authors.initials: J
authors.lastname: Shenoy
authors.affiliation: Associate Professor, Department of Paediatrics, Kasturba Medical College , Mangalore, Karnataka, India .
authors.forename: Anita
authors.initials: A
authors.lastname: Coutinho
authors.affiliation: Associate Professor, Department of Paediatrics, Kasturba Medical College , Mangalore, Karnataka, India .
authors.forename: Sowmini P
authors.initials: SP
authors.lastname: Kamath
authors.affiliation: Professor, Department of Cardiothoracic Surgery, Kasturba Medical College , Mangalore, Karnataka, India .
authors.forename: Suresh
authors.initials: S
authors.lastname: Pai
authors.affiliation: Associate Professor, Department of Radiodiagnosis, Kasturba Medical College , Mangalore, Karnataka, India .
authors.forename: Santosh Pv
authors.initials: SP
authors.lastname: Rai
keywords: Antenatal; Propranolol; Steroids; Superior mediastinum