ePlasty: Vol. 17
Rapidly Involuting Congenital Hemangioma of the Hand
Daniel Delgadillo III, BSa, Logan W. Carr, MDb, Morgan S. Brgoch, MDb, and John M. Ingraham, MDb

aMichigan State University College of Human Medicine, Grand Rapids; and bDivision of Plastic Surgery, Department of Surgery, Pennsylvania State University College of Medicine, Hershey

Correspondence: daniel3delgadillo@gmail.com
Keywords: congenital hemangioma, vascular malformation, tumor, RICH, NICH


A 1-day-old male infant was evaluated in the neonatal intensive care unit for a “large vascular mass encircling his right hand” (Fig 1). Ultrasonography, magnetic resonance imaging (MRI), and incisional biopsy were performed, resulting in the diagnosis of a rapidly involuting congenital hemangioma (RICH).

Figure 1. Right hand with rapidly involuting congenital hemangioma.


1. Define congenital hemangioma and the subtypes?

2. What are the clinical features and how are they diagnosed?

3. What is Kaposiform hemangioendothelioma (KHE)?

4. What are the treatment/management options?