Preterm baby delivered at an average gestational age of 28 weeks. 1 x 1 cm size haemangioma was discovered along the posterior aspect of the left shoulder at the age of 3 weeks. It was initially observed clinically; however, due to progressive increase in its size at the age of two months, propranolol ointment 1% BID, was started after consultation with the dermatologist. At the age of 4 months, the baby was brought to the emergency department with bleeding and purulent discharge from the haemangioma. Imaging (US & MRI) was done and the imaging features were suggestive of a haemangioma.

Infantile haemangioma is the most frequent vascular tumour in children up to 1 year of age¹. It is usually a clinical diagnosis, and imaging is often not required; however, imaging has a role in extensive and deep lesions and in the follow up during pharmacological treatment. The lesion has a classical clinical history; i.e. it is never present at birth, which is in contrast to the, congenital haemangioma, which is by definition already present at birth. Infantile haemangioma has two characteristic phases: a proliferative phase and an involutive phase¹.