Sanjeev Patnaik1, Praveen Kumar2, Biswaranjan Nayak1, Nachiketa Mohapatra3. 1. Department of Orthopedics, Apollo Hospital, Bhubaneswar, Odisha, India. 2. Department of Neurosurgery, Apollo Hospital, Bhubaneswar, Odisha, India. 3. Department of Pathology, Apollo Hospital, Bhubaneswar, Odisha, India.
Abstract
INTRODUCTION: Skeletal muscle hemangiomas are uncommon soft tissue tumors; more than 90% are misdiagnosed initially. They present as chronic pain and swelling in a muscle with or without a history of trauma. Magnetic resonance imaging is the investigation of choice. Many treatment modalities for the symptomatic hemangiomas are available of which surgical excision is the most preferred. CASE REPORT: We present an unusual case of pain, swelling, and restriction of movements in the right knee following an episode of trauma in an 8-year-old boy diagnosed to have intramuscular arteriovenous hemangioma in the vastusmedialis and vastusintermedius for which he was treated by surgical excision and followed for 2 years and found to have no recurrence. CONCLUSION: Skeletal muscle hemangiomas are completely treatable; the knowledge of their natural history, clinical findings, and imaging appearances are of great importance for proper diagnosis and treatment.
INTRODUCTION: Skeletal muscle hemangiomas are uncommon soft tissue tumors; more than 90% are misdiagnosed initially. They present as chronic pain and swelling in a muscle with or without a history of trauma. Magnetic resonance imaging is the investigation of choice. Many treatment modalities for the symptomatic hemangiomas are available of which surgical excision is the most preferred. CASE REPORT: We present an unusual case of pain, swelling, and restriction of movements in the right knee following an episode of trauma in an 8-year-old boy diagnosed to have intramuscular arteriovenous hemangioma in the vastusmedialis and vastusintermedius for which he was treated by surgical excision and followed for 2 years and found to have no recurrence. CONCLUSION: Skeletal muscle hemangiomas are completely treatable; the knowledge of their natural history, clinical findings, and imaging appearances are of great importance for proper diagnosis and treatment.