Intramuscular Hemangioma of the Forearm with Phleboliths: A Case Report
Intramuscular hemangiomas of the forearm are rare. Patients typically present with pain, discomfort, and progressive enlargement of the lesion. Diagnosis is often difficult due to their infrequency, deep location, and unfamiliar presentation. In this case report, we present a 47-year-old woman wit...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/18135/64456_CE[Ra1]_F(IS)_PF1(Vi_HJ_SL)_PFA(OM)_PN(KM).pdf |
| Summary: | Intramuscular hemangiomas of the forearm are rare. Patients typically present with pain, discomfort, and progressive enlargement
of the lesion. Diagnosis is often difficult due to their infrequency, deep location, and unfamiliar presentation. In this case report,
we present a 47-year-old woman with an intramuscular hemangioma with phleboliths involving the forearm. The patient reported
swelling in the right forearm for the past 20 years, which was insidious in onset, gradually progressive in size, and associated with
dull aching pain. Upon examination, a soft 20×4 cm swelling was present over the right forearm involving the ulnar aspect, with
a positive Tinel’s sign at mid-forearm level. Clinical differential diagnosis included lipomatosis, neurofibroma, and intramuscular
hemangioma. On Magnetic Resonance Imaging (MRI), a heterogeneously enhancing serpentine lesion was noted involving the
flexor compartment muscles of the right forearm. The patient underwent excision of the lesion, and histopathological examination
confirmed intramuscular hemangioma. During the postoperative recovery period, all range of movements at the elbow joint and
wrist were normal. No recurrence was noted up to two years of follow-up |
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| ISSN: | 2249-782X 0973-709X |