Having a large hemangioma and not being taken to the doctor, 3-month-old baby is in critical condition

Recently, doctors of Orthopedics Department (National Children’s Hospital) performed surgery to remove the mass hemangioma Large buttock, thigh area with severe ulceration and necrosis and a 1-month-old skin flap reconstruction for a 5-month-old boy.

Hemangioma but thought less should not be treated

Her mother shared, baby D.P has a block hemangioma enlarged in the right thigh since birth, but due to lack of knowledge about the disease, thinking it was just a birthmark, seeing that the child was not in pain, the family did not take the child to the doctor.

When the child was 3 months old, the tumor showed signs of blackening and gradually ulcerated, the family took the child to be examined and treated at a medical facility near the house, but the child’s condition did not improve, the sores spread more and more. At the age of 5 months, the child was brought to the National Children’s Hospital by his family for examination.

Doctor Nguyen Vu Hoang – Department of Orthopedics (National Children’s Hospital), who directly operated on D.P. said that the child was admitted to the hospital in a state of mass. hemangioma large size about 8 x 8cm in the right thigh with ulceration and severe necrosis.

“Realizing that the patient’s injury is quite serious, if not treated promptly and properly, the ulcer bleeds a lot, which can be life-threatening, we quickly consulted with the leadership of the Department of Pediatrics. and decided to surgically remove the tumor for the child on the same day,” said Dr. Hoang.

After the 2 hour surgery, block hemangioma was completely removed from the child’s body, and at the same time, the child was transformed into a skin flap that covered the entire wound.

This is a relatively complicated surgery due to the large defect area, doctors need to calculate in detail, design skin flaps and transfer skin flaps to ensure blood supply to the skin, avoiding skin conditions. necrosis due to lack of nutrition, ensuring good circulation, not affecting the motor function of the baby’s right leg.

10 days after surgery, the child’s incision is dry, the child is awake and has been discharged from the hospital.

Hemangioma what?

According to Dr. Hoang, a child’s hemangiomaIt is a common disease, accounting for about 10% – 12% in newborns. The disease is formed shortly after birth, which is the result of the temporary proliferation of endothelial cells. Hemangiomas can appear anywhere on a child’s body.

Hemangioma in children is a common disease, accounting for about 10% – 12% of newborns.

Hemangiomas exist in 3 main types: superficial (manifested as a bright red raised bump on normal skin), deep (expressed as purple and blue spots) and mixed (at the time of treatment). The head is only superficial, then it grows deeper into the skin).

How does hemangioma affect children?

Dr. Hoang also said that hemangioma is a disease that does not affect the child’s health too much, the disease will usually progress well and regress on its own as the child gets older. However, not all cases go well. In some cases, the tumor continues to grow and proliferate on its own. This can lead to a number of complications such as the following:

Hemangiomas are ulcerated, bleeding, or infected. Fast-growing hemangiomas are treated late, when they come to the stage of regression, leaving skin scars or excess fatty tissue, making them unsightly. Serious hemangiomas can be life-threatening such as hemangiomas in the airways causing difficulty breathing, tumors can grow very quickly combined with blood clotting disorders that make bleeding easily, …

Methods of treating hemangiomas

Dr. Hoang said that hemangiomas are usually benign and can go away on their own when the child gets older. However, for children with large hemangiomas or at sites causing pressure on organs in the body,… should be taken to specialized hospitals soon for timely examination and treatment.

The golden time to treat hemangiomas is when the child is 3 months old, he will have a general examination and instructions on using drugs to help shrink the hemangioma. In particular, children with large hemangiomas should go to the doctor before 1 month of age to be classified and consulted in time, to avoid sequelae due to improper treatment that will leave serious consequences both in terms of aesthetics. and child function.

”In the case of baby D.P., if taken to the right specialist and promptly used medicine from about 1 month old, the baby’s blood tumor could have been smaller and not have ulcers, severe necrosis like when the baby was born. hospitalized,” said Dr. Hoang.