ArticlePediatric radiology2018
Ultrasound findings in rapidly involuting congenital hemangioma (RICH) - beware of venous ectasia and venous lakes.
Article in Pediatric radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Ultrasonography of pediatric cutaneous and subcutaneous masses.Pediatric radiology · 2026Review
- The clinical diagnostic value of contrast-enhanced ultrasound in patients with ovarian yolk sac tumor: a case description.Quantitative imaging in medicine and surgery · 2026Article
- Prenatal ultrasound risk factors for predicting postnatal heart failure in patients with congenital hepatic hemangiomas: a single-center study.Quantitative imaging in medicine and surgery · 2026Article
- A new type of congenital hepatic hemangioma - rapid postnatal proliferation followed by regression.Frontiers in oncology · 2025Article
- Soft tissue vascular tumor-like lesions in adults: imaging and pathological analysis pitfalls per ISSVA classification.Insights into imaging · 2024Article
- A Case Series of 18 Congenital Haemangiomas: Clinical, Histological and Ultrasound Features, and their Relationship with Complications and Atypical Behaviour.Acta dermato-venereologica · 2023Article
- Review
- Rapidly involuting congenital haemangioma: diagnostic and therapeutic approach regarding two case reports.BMJ case reports · 2022Article
- Rapidly involuting congenital haemangioma of the liver.BMJ case reports · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBleeding, ulceration and cardiac failure can occur in rapidly involuting congenital hemangioma (RICH). Bleeding intensity ranges from superficial to life-threatening.
objectiveTo determine whether there are sonographic criteria associated with an increased risk of bleeding, ulceration or cardiac failure in RICH in order to identify children who need close monitoring or prophylactic treatment. MATERIALS AND
methodsThis retrospective single-center study included RICH patients over a period of 13 years. We evaluated sonographic features of RICH on B-mode and Doppler ultrasound. We correlated the occurrence of bleeding, ulceration and cardiac failure with four sonographic findings: (1) visible vessel, (2) venous ectasia, (3) venous lake and (4) arteriovenous shunting.
resultsWe included 24 patients. Ulceration occurred in five cases, bleeding in four cases, one of which was life-threatening. Cardiac failure was observed more frequently in RICH with venous lakes (P=0.028). Bleeding and ulceration appeared more frequently in RICH with venous ectasia and venous lakes. Cardiac failure was associated with the presence of venous ectasia. All children with cardiac failure or ulceration had arteriovenous shunts.
conclusionRICH with venous lakes on ultrasound is prone to develop bleeding, cardiac failure and ulceration. This association was only significant for cardiac failure.
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