Nakada K, Kawada T, Fujioka T, Kitagawa H, Enami T, Kuwabara M, Kawaguchi F, Wakisaka M, Yamate N
Third Department of Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Surg Today. 1993;23(3):273-6. doi: 10.1007/BF00309241.
A rare case of an ulcerated hemangioma of the upper arm in a neonate is described herein. Resection of the huge hemangioma, which occupied the axilla and extended down the entire length of the upper arm, was necessary due to massive hemorrhage from the ulcer and progressive heart failure caused by the arteriovenous fistula in the hemangioma. After complete resection of the hemangioma, extensive defects of the skin and subcutaneous tissue were replaced by a skin flap closure technique which involved considerable difficulty. However, the arm gradually recovered its size and function with good wound healing. The present case illustrates that rapid surgical intervention may be required to prevent clinical deterioration in such cases.
本文描述了一例新生儿上臂溃疡性血管瘤的罕见病例。由于溃疡大量出血以及血管瘤内动静脉瘘导致的进行性心力衰竭，必须切除占据腋窝并沿上臂全长延伸的巨大血管瘤。在完全切除血管瘤后，采用皮瓣闭合技术修复皮肤和皮下组织的广泛缺损，这一过程颇具难度。然而，手臂逐渐恢复了其大小和功能，伤口愈合良好。本病例表明，在此类病例中可能需要迅速进行手术干预以防止病情恶化。
