Giant hemangioma of the tongue: a case report of a potential complication with a real risk of death in a child

Authors

  • Rubem Costa Araújo University Center of Pará - CESUPA
  • André Luis Ribeiro Ribeiro Universitary Center of Pará - CESUPA
  • Ana Paula Guerreiro Rodrigues-Couto University Center of Pará - CESUPA
  • Sílvio Augusto Fernandes de Menezes University Center of Pará - CESUPA
  • Sérgio de Melo Alves-Junior University Center of Pará - CESUPA
  • João de Jesus Viana Pinheiro Federal University of Pará

Keywords:

Hemangioma, oral pathology, stomatology, oral lesion,

Abstract

Objective: Hemangiomas are considered benign vascular tumors characterized by rapid proliferation of endothelial cells, comprising a space containing blood that is coated with a layer of endothelium. Hemangiomas are considered potentially serious lesions due to the risk of bleeding, airway obstruction, infection and thrombocytopenia – however reports of these complications are poorly described in the literature. The authors report a case of cavernous hemangioma of the tongue in a two-year-old child. Case description: A child was admitted with a large volume on the tongue due to internal bleeding after trauma caused by biting the tongue, placing the patient in a life-threatening condition. Initially, a life-support treatment was performed until the child was transferred to a specialized hospital. There, she died three days after glossectomy surgery. Conclusion: The authors report a case of a serious complication of hemangioma of the tongue that put the patient at risk of death by one of the potential complications such as airway obstruction, hypovolemic shock and compartment syndrome, infection and necrosis. The authors emphasize the importance of early diagnosis and treatment of cavernous hemangiomas in areas susceptible to trauma in order to prevent serious and potentially fatal complications.

Author Biographies

Rubem Costa Araújo, University Center of Pará - CESUPA

Graduate student, School of Dentistry, University Center of  Pará - CESUPA, Belém, Pará, Brazil

André Luis Ribeiro Ribeiro, Universitary Center of Pará - CESUPA

Ana Paula Guerreiro Rodrigues-Couto, University Center of Pará - CESUPA

Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, University Center of  Pará - CESUPA, Belém, Pará, Brazil

Sílvio Augusto Fernandes de Menezes, University Center of Pará - CESUPA

Professor, Department of Periodontology, School of Dentistry, University Center of  Pará - CESUPA, Belém, Pará, Brazil

Sérgio de Melo Alves-Junior, University Center of Pará - CESUPA

Professor, Department of Oral Pathology, School of Dentistry, University Center of Pará  - CESUPA, Belém, Pará, Brazil

Professor, Department of Oral Pathology, School of Dentistry, Federal University of Pará, Belém, Pará, Brazil

João de Jesus Viana Pinheiro, Federal University of Pará

Professor, Department of Oral Pathology, School of Dentistry, Federal University of Pará, Belém, Pará, Brazil

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Published

2013-10-18

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Section

Case Report