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Case Reports
. 2015 Apr 1:80:172-5.
doi: 10.12659/PJR.893011. eCollection 2015.

Hemangioma of rib: a different perspective

Hemant Deshmukh  1 , Kranti K Rathod  1 , Priya Hira  1 , Shilpa Sankhe  1 , Nilesh Pandit  1 , Kartik Mittal  1 , Amit K Dey  1
Affiliations
Case Reports

Hemangioma of rib: a different perspective

Hemant Deshmukh et al. Pol J Radiol. .

Abstract

Background: Hemangiomas are one of the common primary benign tumors of the intraosseous and soft tissue compartments in humans. Vertebral hemangiomas being the most common of all are seen in daily radiological practice. Hemangioma of the rib is rarely seen.

Case report: We reported on a case of a rib lesion which had a classic imaging pattern of hemangioma. We highlighted the use of pre-operative embolization of such a vascular rib lesion before surgically removing the lesion by thoracotomy to reduce the risk of bleeding.

Conclusions: We also emphasized overt complications of overzealous needling of such a vascular lesion for histopathological diagnosis as in our case.

Keywords: Embolization, Therapeutic; Hemangioma; Technology, Radiologic.

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Figures

Figure 1
Figure 1
Chest X-ray shows a well-defined radio-opaque density in the right upper hemi thorax arising from the posterior part of the 3rd rib.
Figure 2
Figure 2
Axial NECT show lobulated heterogeneous mass causing expansion of the rib with sun burst calcification.
Figure 3
Figure 3
T2 W axial image show lobulated hyper intense lesion with multiple linear hypo intensity scattered throughout the lesion suggestive of expanded trabecular pattern. Few flow voids are seen in the periphery of the lesion. T1 precontrast sagittal image show a well-defined isointense lesion arising from the 3rd rib with hyper intensities within suggestive of fat within the lesion. T1 post contrast sagittal and axial images show intense enhancement of the corresponding lesion.
Figure 4
Figure 4
DSA with super selective catheterization of the costal branch of the costocervical trunk by micro catheter shows puddling of the contrast suggestive of hemangioma. Post embolization DSA show adequate stasis of the contrast which is suggestive of satisfactory embolization.
Figure 5
Figure 5
Post-operative chest X-ray showing complete excision of the 3rd rib and the lesion.
See this image and copyright information in PMC

References

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