Rapidly involuting congenital haemangioma (RICH) - leg

Case contributed by Francis Fortin
Diagnosis almost certain

Presentation

Newborn with soft, partially compressible, asymptomatic mass noted on left leg at birth.

Patient Data

Age: Newborn
Gender: Male

First day of life

Photo

On the left leg, a 3.5 cm mass is noted with superficial violaceous discoloration and a peripheral pale halo. On palpation, the mass in

Likely unrelated macules are seen on the anterior surface of both shins (right leg not shown).

First day of life

ultrasound

A heterogeneous soft tissue mass is seen in the subcutaneous fat of the left lateral mid-leg. It is well-circumscribed, mostly hypoechoic with large internal venous lakes and numerous punctate microcalcifications. Moderately elevated arterial Doppler flow. The mass is partially compressible (not shown).

After 1 month, the mass has already begun to shrink both clinically and on ultrasound.

Case Discussion

Characteristic clinical and ultrasound appearance of a rapidly involuting congenital haemangioma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.