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Case Reports
. 2019 Mar 26:13:17.
doi: 10.1186/s13037-019-0197-1. eCollection 2019.

Surgical management of intramuscular hemangioma of the foot: a case report

K Lahrach  1 , S Abdulrazak  1 , A Marzouki  1 , F Boutayeb  1
Affiliations
Case Reports

Surgical management of intramuscular hemangioma of the foot: a case report

K Lahrach et al. Patient Saf Surg. .

Abstract

Background: Hemangiomas are benign tumors usually found in the lower extremity yet their surgical management on the location in the foot is rarely documented.

Case presentation: We report a case of a plantar intramuscular hemangioma in 25-year-old patient with a history of percutaneous therapy. Patient had undergone intralesional sclerotherapy 3 years prior to his admission with persistent pain on weight bearing activities.MRI demonstrated a multi lobulated lesion of the 1st IMS with a peripheral enhancement on gadolinium injection. The patient underwent elective surgery with complete excision and no functional impairment at the last follow-up 3 years after surgery.

Conclusion: Intramuscular hemangiomas are rare occurrences. Steroid injection and sclerotherapy are effective non-operative methods. Complete excision of isolated hemangioma lesions allows definite diagnosis with no recurrence.

Keywords: Excision; Hemangioma; Intramuscular; Plantar; Sclerotherapy.

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Conflict of interest statement

The approval of the ethics committee of the Hassan II Teaching Hospital, was obtained prior to the publication of this article.Written informed consent was obtained from the patient for publication of this article and associated images.The authors declare no potential conflicts of interest with respect to the authorship, and/or publication of this article.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Plain X-ray showing a widening of the 1st IMS with phleboliths
Fig. 2
Fig. 2
Foot MRI showing a multi-lobulated hemangioma on the plantar side of the foot taking up the first two metatarsals
Fig. 3
Fig. 3
peroperative image showing complete excision of highly vascularized tumour
See this image and copyright information in PMC

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