Journal Information
Vol. 101. Issue 3.
Pages 220-221 (1 September 2024)
Vol. 101. Issue 3.
Pages 220-221 (1 September 2024)
Images in Paediatrics
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Ultrasound findings in infantile haemangioma of the parotid gland
Hallazgos ecográficos en el hemangioma infantil de la glándula parótida
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Merve Solak
Corresponding author
mervesolak2555@gmail.com

Corresponding author.
, Esat Kaba, Gülen Burakgazi
Department of Radiology, Recep Tayyip Erdogan University, Rize, Turkey
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A female infant aged 2 months presented with progressive swelling in the left preauricular region since birth. There was a blueish discoloration this area. There were no additional clinical or laboratory findings, such as fever or malnutrition. A parotid gland ultrasound (US) scan was performed with a preliminary diagnosis of acute parotitis and infantile haemangioma. The scan showed significant enlargement and diffuse hypervascularity in the left parotid gland. The right parotid gland was normal (Fig. 1). The patient received a diagnosis of infantile haemangioma, as there was no evidence of infection, and treatment with propranolol was initiated. At the 3-month follow-up, the size and vascularisation of the haemangioma had decreased (Fig. 2).

Figure 1.

Diffusely enlarged left parotid gland with haemangioma (a), substantially increased vascularity in the left parotid gland (b), normal size and appearance of the right parotid gland (c), normal vascularization of the right parotid gland (d).

(0.49MB).
Figure 2.

Follow-up ultrasound after 3 months: reduction in size of haemangioma (red arrows), normal appearance of left parotid gland (*) (a) marked decrease in vascularity in the left parotid gland (b).

(0.26MB).

Parotid infantile haemangioma is a rare benign tumour that usually develops in the first 6 months of life. It is associated with risk factors including female sex, low birth weight and older maternal age. Bluish discoloration of the skin is a common finding. Although its presentation may overlap with that of acute parotitis, it can be managed without surgery or a biopsy based on typical US findings combined with typical clinical findings.1,2 Other conditions to include in the differential diagnosis are cystic lymphatic malformation, solitary infantile myofibromatosis and sialoblastoma. Propranolol is the first-line treatment with generally satisfactory results. Surgical treatment is preferred in haemangiomas that do not respond to medical management or with complications.2,3

References
[1]
K.T. Abidi, N.M. Kamal, K.A. Althobaiti, S.D. Althobaiti, Y.A. Halabi, S.A. Alalyani.
Infantile Parotid Hemangioma With Diagnostic Dilemma: A Case Report.
Clin Med Insights Case Rep, 15 (2022),
[2]
A. Siddiqui, C. Azad, D.K. Singh.
Infant with a parotid swelling: beware of the rare.
Sudan J Paediatr, 21 (2021), pp. 95-97
[3]
R. Gisela, A.C. Nuno, S.F. João, T. Helena, O.S. Pedro.
Parotid Hemangioma in a Child: an Uncommon Imaging Diagnosis.
Acta Radiológica Portuguesa, 31 (2019), pp. 19-22
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