Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Oct;12(10):83-86.
doi: 10.13107/jocr.2022.v12.i10.3378.

A Case Report of an Unusual Case of Cavernous Hemangioma at Retrocalcaneum Region

Ashutosh Chandraprakash Tripathi  1 , Rajendra Wamanrao Baitule  1 , Yogesh Bhimrao Rathod  1 , Ganesh Narayanrao Pundkar  1 , Gaurav Pawan Bhutada  1
Affiliations
Case Reports

A Case Report of an Unusual Case of Cavernous Hemangioma at Retrocalcaneum Region

Ashutosh Chandraprakash Tripathi et al. J Orthop Case Rep. 2022 Oct.

Abstract

Introduction: Subcutaneous hemangioma is a rare variant of slow-flowing venous malformation. It occurs in both adults and children and is more common in women. It exhibits an aggressive growth pattern, can occur anywhere in the body, and may recur after resection. This report shows a rare localization of hemangioma in the retrocalcaneal bursa.

Case report: A female patient, age 31, presented with swelling and pain over the retro calcaneum region for 1 year. The pain in the retrocalcaneal region has increased with gradual intensity over the past 6 months. The swelling she described to be insidious in onset and gradually progressive. Examination findings at presentation were a middle-aged female with diffuse swelling in the retrocalcaneal region with a size of 2 cm by 1.5 cm. Based on the X-ray, we defined it to be myositis ossificans. With this view in mind, we admitted the patient and surgically excised the area. We operated by posteromedial approach and sent the specimen for histopathology. Pathology revealed calcified bursa. Microscopically, it was hemangioma with phleboliths and osseous metaplasia. The post-operative period was uneventful. The patient's pain was reduced, and overall performance was good at follow-up.

Conclusion: This case report highlights the importance for surgeons, pathologist to consider cavernous hemangioma as a differential diagnosis for retrocalcaneal swellings.

Keywords: Cavernous hemangioma; rare tumor; retro calcaneal region.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
X-ray of the patient (arrow showing the calcific deposits at retrocalcaneal region).
Figure 2
Figure 2
Microscopic picture of the sample collected (Hemangioma along with ossesous metaplasia).
Figure 3
Figure 3
Gross pathology of the specimen.
Figure 4
Figure 4
Perioperative photograph of the location of the swelling (Instrument is lifting the sural nerve behind which the tumor was present).
Figure 5
Figure 5
Post-operative X-ray of ankle anteroposterior and lateral view after excision.
See this image and copyright information in PMC

References

    1. Casanova D, Norat F, Bardot J, Magalon G. Cutaneous hemangioma:Clinical aspects. Ann Chir Plast Esthet. 2006;51:287–92. - PubMed
    1. Enjolras O, Mulliken JB. Malformações Vasculares. Rio Janeiro: Brazil Elsevier; 2011. pp. 1581–95.
    1. Garzon MC, Huang JT, Enjolras O, Frieden IJ. Vascular malformations:Part I. J Am Acad Dermatol. 2007;56:353–4. - PubMed
    1. Legiehn GM, Heran MK. Venous malformations:classification, development, diagnosis, and interventional radiologic management. Radiol Clin North Am. 2008;46:545–97. vi. - PubMed
    1. Jackson IT, Carreño R, Potparic Z, Hussain K. Hemangiomas, vascular malformations, and lymphovenous malformations:Classification and methods of treatment. Plast Reconstr Surg. 1993;91:1216–30. - PubMed

Publication types