TY - JOUR
T1 - Successful treatment of ulcerated hemangioma with diversion colostomy in a neonate with LUMBAR syndrome
AU - Shah, Ananya
AU - Tollefson, Megha
AU - Ahn, Edward S.
AU - Gibreel, Waleed
AU - Polites, Stephanie
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/3/1
Y1 - 2024/3/1
N2 - We present the case of a 3-week-old girl with LUMBAR syndrome, a rare condition involving segmental infantile hemangiomas (IH) in the lumbosacral region, myelopathy, and other congenital anomalies. The patient developed severe ulceration of a left buttock IH. Treatment included broad-spectrum antibiotics, debridement, and a laparoscopic temporary colostomy. Propranolol therapy, wound care, and fecal diversion led to successful healing of the ulceration. The report highlights the challenges of ulcerated IH in the perineal area due to exposure to urine and stool. The comprehensive approach resulted in positive outcomes, including the successful surgical treatment of spinal dysraphism, successful colostomy reversal, and developmental progress. This case contributes insight into the surgical management of severe perianal ulcerated IH associated with LUMBAR syndrome, highlighting the importance of a tailored surgical approach with a multidisciplinary framework.
AB - We present the case of a 3-week-old girl with LUMBAR syndrome, a rare condition involving segmental infantile hemangiomas (IH) in the lumbosacral region, myelopathy, and other congenital anomalies. The patient developed severe ulceration of a left buttock IH. Treatment included broad-spectrum antibiotics, debridement, and a laparoscopic temporary colostomy. Propranolol therapy, wound care, and fecal diversion led to successful healing of the ulceration. The report highlights the challenges of ulcerated IH in the perineal area due to exposure to urine and stool. The comprehensive approach resulted in positive outcomes, including the successful surgical treatment of spinal dysraphism, successful colostomy reversal, and developmental progress. This case contributes insight into the surgical management of severe perianal ulcerated IH associated with LUMBAR syndrome, highlighting the importance of a tailored surgical approach with a multidisciplinary framework.
KW - multidisciplinary
KW - pediatric laparoscopic colostomy
KW - perianal wound
KW - ulcerated infantile hemangioma
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U2 - 10.1093/jscr/rjae114
DO - 10.1093/jscr/rjae114
M3 - Article
AN - SCOPUS:85187352665
SN - 2042-8812
VL - 2024
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 3
M1 - rjae114
ER -