Mediastinal Lobular Capillary Haemangioma in Children with Severe Airway Obstruction Symptom: A Case Report

Background: Lobular capillary haemangioma (LCH) is a polypoid form of capillary haemangioma occurring on the skin and mucosal surfaces. While LCH of the oral and nasal cavity is well-known entity, mediastinal localization is a rare case. In children, LCH is frequently benign.
Case illustration: A two month age baby girl experienced recurrent inspiratory stridor since she was 42 days-old and diagnosed as laryngomalacia. Due to the widening of mediastinal area from chest x-ray, a chest CT-scan was conducted and showed a mass in the mediastinal area. A sternotomy was done and found mass filled the mediastinal space. Some parts of the mass found to depress the trachea. Mediastinal tumor resection procedure done. A definitive pathology anatomy result was a lobular capillary haemangioma. After surgery, stridor gradually improves. 
Summary: We reported this rare mediastinal lobular capillary haemangioma case that was initially diagnosed with laryngomalacia After removal of the tumor, the stridor gradually improved.

Keywords: Lobular capillary haemangioma, pyogenic granuloma, mediastinal tumor, stridor, children