CASE REPORT

Treatment of severe diffuse cavernous hemangioma of the lower limb by combination of superficial femoral artery ligation and supergenual thigh amputation

  • Yin XIA ,
  • Dan SHANG ,
  • Qin LI ,
  • Xiaoqin RUN ,
  • Chenxi OUYANG ,
  • Yiqing LI ,
  • Bi JIN
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  • Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China

Received date: 25 Jun 2008

Accepted date: 20 Oct 2008

Published date: 05 Jun 2009

Copyright

2014 Higher Education Press and Springer-Verlag Berlin Heidelberg

Abstract

Severe diffuse cavernous hemangioma of the lower limb is rarely seen among young people and sometimes can be a fatal challenge for operation. We reported a case of diffuse cavernous hemangioma involving both skin and muscles of the left lower limb and perineal region in an adolescent patient. The patient who had previously undergone a local hemangioma resection of the foot ultimately ended in superficial femoral artery ligation and supergenual thigh amputation of the left upper leg because of uncontrollable massive bleeding of anastomotic stoma.

Cite this article

Yin XIA , Dan SHANG , Qin LI , Xiaoqin RUN , Chenxi OUYANG , Yiqing LI , Bi JIN . Treatment of severe diffuse cavernous hemangioma of the lower limb by combination of superficial femoral artery ligation and supergenual thigh amputation[J]. Frontiers of Medicine, 2009 , 3(2) : 240 -244 . DOI: 10.1007/s11684-009-0031-8

1
BaptistaE G, AchourH, BoccalandroF, SmallingR W. Cavernous hemangioma of the foot and antecubital fossa: an alternative therapeutic option. Catheter Cardiovasc Interv, 2003, 58(4): 527–531

DOI

2
ChadhaM, SinghA P. Unusual knee swelling: a diagnostic dilemma. Arch Orthop Trauma Surg, 2007, 127(7): 593-596

DOI

3
OlsenK I, StacyG S, MontagA. Soft-tissue cavernous hemangioma. Radiographics. 2004, 24(3): 849-854

DOI

4
MelmanL, JohnsonF E. Intramuscular cavernous hemangioma. Am J Surg, 2008, 195(6): 816-817

DOI

5
SundineM J, WirthG A. Hemangiomas: an overview. Clin Pediatr, 2007, 46(3): 206-221

DOI

6
RedondoP. Vascular Malformations (I). Concept, Classification. Pathogenesis and Clinical Features. Actas Dermosifiliogr, 2007, 98(3): 141-158

7
DevaliaK L, MehtaR, YagnikM G. Benign juvenile hemangioma: a case report. Acta Orthop, 2006, 77(1): 171-173

DOI

8
KimE Y, AhnJ M, YoonH K, SuhY L, DoY S, KimS H, ChooS W, ShooI W, KimS M, KangH S. Intramuscular vascular malformations of an extremity: findings on MR imaging and pathologic correlation. Skeletal Radiol, 1999, 28(9): 515-521

DOI

9
MazoyerE, EnjolrasO, LaurianC, HoudartE, DrouetL. Coagulation abnormalities associated with extensive venous malformations of the limbs: differentiation from Kasabach-Merritt syndrome. Clin Lab Haematol, 2002, 24(4): 243-251

DOI

10
HayashiN, MasumotoT, OkuboT, AbeO, KajiN, TokiokaK, AokiS, OhtomoK. Hemangiomas in the face and extremities: MR-guided sclerotherapy--optimization with monitoring of signal intensity changes in vivo. Radiology, 2003, 226(2): 567-572

DOI

11
LooksteinR A, GullerJ. Embolization of complex vascular lesions. Mt Sinai J Med, 2004, 71(1): 17-28

12
BaptistaE G, AchourH, BoccalandroF, SmallingR W. Cavernous hemangioma of the foot and antecubital fossa: an alternative therapeutic option. Catheter Cardiovasc Interv, 2003, 58(4): 527-531

DOI

13
SongJ K, NiimiY, BerensteinA. Endovascular treatment of hemangiomas. Neuroimaging Clin N Am, 2007, 17(2): 165-173

DOI

14
LooksteinR A, GullerJ. Embolization of complex vascular lesions. Mt Sinai J Med, 2004, 71(1): 17-28

15
AroraS, WeberM A, FoxC J, NevilleR, LidorA, SidawyA N. Common femoral artery ligation and local debridement: a safe treatment for infected femoral artery pseudoaneurysms. J Vasc Surg, 2000, 33(5): 990-993

DOI

16
SalimiJ, ShojaeefarA, KhashayarP. Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases. Arch Med Res, 2008, 39(1): 120-124

DOI

17
GanJ P, LeibermanD P, PollockJ G. Outcome after Ligation of Infected False Femoral Aneurysms in Intravenous Drug Abusers. Eur J Vasc Endovasc Surg, 2000, 19(2): 158-161

DOI

18
NaqiS A, KhanH M, AkhtarS, ShahT A. Femoral Pseudoaneurysm in Drug Addicts-Excision without Revascularization is a Viable Option. Eur J Vasc Endovasc Surg, 2006, 31(6): 585-587

DOI

19
FayadL M, HazirolanT, BluemkeD, MitchellS. Vascular malformations in the extremities: emphasis on MR imaging features that guide treatment options. Skeletal Radiol, 2006, 35(3): 127-137

DOI

20
HerbornC U, GoyenM, LauensteinT C, DebatinJ F, RuehmS G, KrögerK. Comprehensive time-resolved MRI of peripheral vascular malformations. AJR Am J Roentgenol, 2003, 181(3): 729-735

21
StevenM, KumaranN, CarachiR, DesaiA, BennetG. Haemangiomas and vascular malformations of the limb in children. Pediatr Surg Int, 2007, 23(6): 565-569

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