Cargando…

A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review

Intramuscular hemangioma (IH) is rare, accounting for only 0.8% of all hemangioma cases. In particular, IH of the foot has only been reported a few times. In such cases, the symptoms typically include tenderness and swelling, often in relation to physical activity, but tingling or impaired function...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Hong Seop, Hong, Yong Cheol, Jung, Ki Jin, Yeo, Eui Dong, Won, Sung Hun, Jang, Si-Hyong, Ji, Jae Young, Lee, Dhong Won, Yoon, Sung Joon, Kim, Woo Jong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431436/
https://www.ncbi.nlm.nih.gov/pubmed/34501676
http://dx.doi.org/10.3390/ijerph18179088
_version_ 1783750936266539008
author Lee, Hong Seop
Hong, Yong Cheol
Jung, Ki Jin
Yeo, Eui Dong
Won, Sung Hun
Jang, Si-Hyong
Ji, Jae Young
Lee, Dhong Won
Yoon, Sung Joon
Kim, Woo Jong
author_facet Lee, Hong Seop
Hong, Yong Cheol
Jung, Ki Jin
Yeo, Eui Dong
Won, Sung Hun
Jang, Si-Hyong
Ji, Jae Young
Lee, Dhong Won
Yoon, Sung Joon
Kim, Woo Jong
author_sort Lee, Hong Seop
collection PubMed
description Intramuscular hemangioma (IH) is rare, accounting for only 0.8% of all hemangioma cases. In particular, IH of the foot has only been reported a few times. In such cases, the symptoms typically include tenderness and swelling, often in relation to physical activity, but tingling or impaired function may also be present. Here, we report a patient who presented with a significant IH in the plantar area treated surgically. A 25-year-old female visited our hospital with pain in the plantar aspect of the right foot. She had noticed a mass about 10 years prior. She had previously experienced pain only when pressing the mass, but the pain subsequently became more regular pain and was exacerbated by exercise. In fact, the pain became so intense that she could not sleep well. Upon physical examination, mild swelling and tenderness of the plantar area were noted in the second to the fourth metatarsal. Sensation and motor reflexes were normal and the results of Tinel’s test were negative. Plain radiographs of the right foot revealed phleboliths scattered throughout the first to third intermetatarsal spaces. Magnetic resonance imaging revealed a space-occupying multilobulated mass (5.6 × 2.8 × 2.5 cm) located in the flexor digitorum brevis (FDB) muscle, which penetrated the plantar fascia and spread to the subcutaneous layer. In T2-weighted images, the lesion displayed a hyperintense signal compared to the surrounding skeletal muscle. Based on radiological findings, we suspected IH. The mass surrounded by the FDB muscle was exposed and completely removed via wide excision. IH consisting of cavernous-like vascular structures was diagnosed on pathology. At 1-year follow-up, the patient was almost asymptomatic and had recovered almost full range of motion in the plantar area. Histological analysis and surgery are recommended to remove intramuscular hemangiomas in the plantar area, but if the patient is not suitable for surgery, sclerotherapy or combination treatment should also be considered.
format Online
Article
Text
id pubmed-8431436
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84314362021-09-11 A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review Lee, Hong Seop Hong, Yong Cheol Jung, Ki Jin Yeo, Eui Dong Won, Sung Hun Jang, Si-Hyong Ji, Jae Young Lee, Dhong Won Yoon, Sung Joon Kim, Woo Jong Int J Environ Res Public Health Case Report Intramuscular hemangioma (IH) is rare, accounting for only 0.8% of all hemangioma cases. In particular, IH of the foot has only been reported a few times. In such cases, the symptoms typically include tenderness and swelling, often in relation to physical activity, but tingling or impaired function may also be present. Here, we report a patient who presented with a significant IH in the plantar area treated surgically. A 25-year-old female visited our hospital with pain in the plantar aspect of the right foot. She had noticed a mass about 10 years prior. She had previously experienced pain only when pressing the mass, but the pain subsequently became more regular pain and was exacerbated by exercise. In fact, the pain became so intense that she could not sleep well. Upon physical examination, mild swelling and tenderness of the plantar area were noted in the second to the fourth metatarsal. Sensation and motor reflexes were normal and the results of Tinel’s test were negative. Plain radiographs of the right foot revealed phleboliths scattered throughout the first to third intermetatarsal spaces. Magnetic resonance imaging revealed a space-occupying multilobulated mass (5.6 × 2.8 × 2.5 cm) located in the flexor digitorum brevis (FDB) muscle, which penetrated the plantar fascia and spread to the subcutaneous layer. In T2-weighted images, the lesion displayed a hyperintense signal compared to the surrounding skeletal muscle. Based on radiological findings, we suspected IH. The mass surrounded by the FDB muscle was exposed and completely removed via wide excision. IH consisting of cavernous-like vascular structures was diagnosed on pathology. At 1-year follow-up, the patient was almost asymptomatic and had recovered almost full range of motion in the plantar area. Histological analysis and surgery are recommended to remove intramuscular hemangiomas in the plantar area, but if the patient is not suitable for surgery, sclerotherapy or combination treatment should also be considered. MDPI 2021-08-28 /pmc/articles/PMC8431436/ /pubmed/34501676 http://dx.doi.org/10.3390/ijerph18179088 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Lee, Hong Seop
Hong, Yong Cheol
Jung, Ki Jin
Yeo, Eui Dong
Won, Sung Hun
Jang, Si-Hyong
Ji, Jae Young
Lee, Dhong Won
Yoon, Sung Joon
Kim, Woo Jong
A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title_full A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title_fullStr A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title_full_unstemmed A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title_short A Huge Plantar Intramuscular Hemangioma in the Plantar Area Treated Surgically: A Case Report and Literature Review
title_sort huge plantar intramuscular hemangioma in the plantar area treated surgically: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431436/
https://www.ncbi.nlm.nih.gov/pubmed/34501676
http://dx.doi.org/10.3390/ijerph18179088
work_keys_str_mv AT leehongseop ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT hongyongcheol ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jungkijin ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT yeoeuidong ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT wonsunghun ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jangsihyong ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jijaeyoung ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT leedhongwon ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT yoonsungjoon ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT kimwoojong ahugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT leehongseop hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT hongyongcheol hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jungkijin hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT yeoeuidong hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT wonsunghun hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jangsihyong hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT jijaeyoung hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT leedhongwon hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT yoonsungjoon hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview
AT kimwoojong hugeplantarintramuscularhemangiomaintheplantarareatreatedsurgicallyacasereportandliteraturereview