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    Go to the top of the page   ID: 20030904201557 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Submucous hemangioma of the subglottic trachea
    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557


    ( There are questions in the CMK-Mode for this topic )

     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] There are Endoscopy-images available for this case. [ Endoscopy ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    A. Nordwig, A. Jassoy, J. Waldschmidt, W. Lässig (Halle-Dölau)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    N/A  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Trachea  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    History: since the 10th week of life, worsening inspiratory stridor with changing appearance.

    Findings: 12 week old boy in reduced general condition; tachypnea; partially opisthotonic posture; jugulary retractions; inspiratory stridor in rest; Pulmo: bilateral same ventilation, in- and expiratory rhonchi.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The inspiratory stridor results from serious (>70%) constriction of the larynx in the glottic and/or subglottic area, or rather the extrathoracic part of the trachea. A subglottic hematoma (benign angiogenesis) as the cause should always be considered, if the course is an acute or slowly worsening one (inspiratory stridor) in the 1st - 3rd month of life and if the intensity is worsening. Because of infection, the patients are in severe danger because of accompanying mucosal swelling in the subglottic area.  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: T2-weigted transversal: subglottic hyperintense intratracheal soft tissue mass with a maximal length of ca. 10 mm craniocaudal. Also a 4 mm x 4 mm diameter. This causes the tracheal lumen to be about 10% of what it usually should be.




    MRI 2 <- view MRI 2

    MRI 2: T1-weighted after contrast media: strong homogenous contrast media absprbtion of the subglottic intratracheal soft tissue mass after dose of Gadolinium-DTPA




    Endoscopy 1 <- view Endoscopy 1

    Endoscopy 1: Bronchoscopy: subglottic, starting dorsally, compressed tumor, which seriously restricted the tracheal lumen.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    The most common cause of inspiratory in babies is the infantile larynx itself. Further differential diagnoses are the congenital and acquired structural subglottic stenosis, the paralysis of the recurrens nerve, and more uncommonly the stenosis of the ring cartilage, a larynx cyst, the subglottic flap, the larynx papillomatosis as well as an esophageal and vascular malformations.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    In spontaneous course, the intensity of the symptoms (inspiratory stridor to dyspnea) increases in the first months of life. Towards the end of the 1st year of life, the symptoms decrease and are completely gone after age 2 or 3. With this, the clinical image of growth and regression of the tumor can be followed.

    Our patient underwent a subtotal coagulation with a ND:YAG-Laser by means of a tracheoscopy in the 14th week of life. The follow-up examination after 4 weeks showed a minimal residual finding in the left Paries memranaceus trachae, for which no treatment was needed. Clinically, the further course showed no abnormalities.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    hemangioma, neovascularisation, larynx, subglottis, submucous hemangioma, subglottic trachea, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Trachea
    or in the region: Thorax
    or in the tissue/organ: Trachea
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] There are Endoscopy-images available for this case. [ Endoscopy ] View all modalities [ All ]   
     
    Submucous hemangioma of the subglottic trachea
    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557


    ( There are questions in the CMK-Mode for this topic )

     

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    Submucous hemangioma of the subglottic trachea
    Other cases by these authors:

    Search A. Nordwig in Medline A. Nordwig (4)   
    Search A. Jassoy in Medline A. Jassoy (6)   
    Search J. Waldschmidt in Medline J. Waldschmidt (1)   
    Search W. Lässig in Medline W. Lässig (2)   

    Submucous hemangioma of the subglottic trachea  
     
    Submucous hemangioma of the subglottic trachea
    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557


    ( There are questions in the CMK-Mode for this topic )

     

    Which diagnosis have other collegues guessed?


    • Laryngomalacia
      Votes: 1 (5 %)


    • Cricoid cartilage stenosis
      Votes: 1 (5 %)


    • Larynxcyst
      Votes: 4 (20 %)


    • subglottic valve
      Votes: 2 (10 %)


    • Larynxpapillomatosis
      Votes: 0 (0 %)


    • Hemangioma
      Votes: 12 (60 %)



        Total answers: 20

     
    Submucous hemangioma of the subglottic trachea
    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557


    ( There are questions in the CMK-Mode for this topic )

     

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    Submucous hemangioma of the subglottic trachea
    A Nordwig, A Jassoy, J Waldschmidt, W Lässig. Submucous hemangioma of the subglottic trachea. PedRad [serial online] vol 3, no. 9.
    URL: www.PedRad.info/?search=20030904201557


    ( There are questions in the CMK-Mode for this topic )

     




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