An infant with LUMBAR syndrome complicated by severe perineal ulceration managed with diverting colostomy

Malgorzata K Nowakowska; Edgar D Rodriguez; Raegan D Hunt; Kristy L Rialon; Siddharth P Jadhav; Denise W Metry

doi:10.1111/pde.15174

An infant with LUMBAR syndrome complicated by severe perineal ulceration managed with diverting colostomy

Pediatr Dermatol. 2023 Mar;40(2):355-357. doi: 10.1111/pde.15174. Epub 2022 Nov 13.

Authors

Malgorzata K Nowakowska¹, Edgar D Rodriguez², Raegan D Hunt^{2

3}, Kristy L Rialon⁴, Siddharth P Jadhav^{5

6}, Denise W Metry^{2

3}

Affiliations

¹ School of Medicine, Baylor College of Medicine, Houston, Texas, USA.
² Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.
³ Department of Dermatology, Texas Children's Hospital, Houston, Texas, USA.
⁴ Division of Pediatric Surgery, Department of Surgery, Texas Children's Hospital, Texas, USA.
⁵ Department of Radiology, Baylor College of Medicine, Houston, Texas, USA.
⁶ Department of Radiology, Texas Children's Hospital, Houston, Texas, USA.

PMID: 36373214
DOI: 10.1111/pde.15174

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.

Keywords: LUMBAR syndrome; colostomy; hemangioma complications; infantile hemangioma; ulcerated hemangioma.

Publication types

Case Reports

MeSH terms

Child
Colostomy*
Hemangioma* / pathology
Humans
Infant