Congenital Haemangioma of the Chin: A Rare Presentation

Résumé fourni par la source

Congenital haemangioma (CH) is a rare vascular tumour that is fully formed at birth and does not undergo postnatal proliferation, distinguishing it from the more common infantile haemangioma. We report a case of a male infant born at 35 weeks’ gestation with respiratory distress and a pedunculated mass over the left side of the chin. Imaging revealed a well-defined subcutaneous lesion with features consistent with a soft tissue venous malformation. Over time, the lesion spontaneously regressed in size, raising the possibility of a rapidly involuting congenital haemangioma (RICH). No medical intervention was required, and the infant continued to thrive during outpatient follow-up. Elective excision is planned at one year of age if the lesion persists. This case highlights the importance of recognising CH and distinguishing it from other vascular anomalies to avoid unnecessary interventions. Imaging and clinical monitoring are essential in guiding diagnosis and management. Understanding the natural history of different CH subtypes—RICH, non-involuting (NICH), and partially involuting (PICH)—is vital in providing anticipatory guidance to families and planning appropriate care.

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