Year : 2020  |  Volume : 7  |  Issue : 3  |  Page : 277-280

Intramuscular vascular malformation in triceps: A case report with literature review

1 Department of Orthopaedics, Maharishi Markandeshwar University of Health Sciences and Medical College, Solan, Himachal Pradesh, India
2 Department of Radiodiagnosis, AIIMS, Bathinda, Punjab, India

Correspondence Address:
Harmeet Kaur
Department of Radiodiagnosis, AIIMS, Bathinda, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijves.ijves_80_19

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Vascular anomalies comprise a widely heterogeneous group of tumors and malformations. The tendency of radiologists and pathologists to report the intramuscular vascular anomalies as hemangiomas may mislead the treating surgeon which affects the diagnosis and management plan. The International Society for the Study of Vascular Anomalies classification has helped clear the confusion created by interchangeable terminology like hemangioma for such lesions. The vascular tumors may involute with time and deserve a conservative trial, whereas the symptomatic vascular malformations will eventually need surgical intervention. Mass lesions with normal skin without any discoloration, venous engorgement, or inflammatory signs can be easily passed for a lipoma. The high index of suspicion and availability of ultrasound and color Doppler help in the early detection of vascular anomalies. In the case presented herein, the vascular malformation symptomatic for about two decades was excised successfully with a plane of dissection through surrounding normal triceps muscle. This case highlights that the correct classification of vascular anomalies cannot be overemphasized because it guides the management plan according to the type of lesion and helps in setting up a genuine database for scientific research.

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