An infant with LUMBAR syndrome complicated by severe perineal ulceration managed with diverting colostomy. Issue 2 (13th November 2022)

• Record Type: Journal Article
• Authors: Nowakowska, Malgorzata K.; Rodriguez, Edgar D.; Hunt, Raegan D.; Rialon, Kristy L.; Jadhav, Siddharth P.; Metry, Denise W.
• Is Part Of: Pediatric dermatology. Volume 40:Issue 2(2023)
• Page Start: 355
• Page End: 357
• Publication Date: 2022-11-13
• Subjects: colostomy -- hemangioma complications -- infantile hemangioma -- LUMBAR syndrome -- ulcerated hemangioma; Pediatric dermatology -- Periodicals; Children -- Diseases -- Periodicals; 618.925
• DOI: 10.1111/pde.15174
• Languages: English
• ISSNs: 0736-8046

Abstract

Abstract: Infantile hemangiomas are the most common childhood vascular lesions. LUMBAR syndrome (lower body hemangioma, urogenital abnormalities/ulceration, myelopathy, bony deformities, anorectal malformations/arterial anomalies, and rectal anomalies) warrants special treatment considerations. Here we describe a case of an infant with LUMBAR syndrome who presented with severe perineal ulceration refractory to standard medical therapy and was managed with a temporary diverting sigmoid colostomy. This case demonstrates that adjunctive surgical management can be considered in infants with aggressive perineal wounds refractory to standard medical therapy.