Intramuscular hemangioma mimicking myofascial pain syndrome: A case report

Hwee Kim Dong, Miriam Hwang, Kyoo Kang Yoon, Jong Kim In, Kun Park Yoon

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Intramuscular hemangioma, an infrequent but important cause of musculoskeletal pain, is often difficult to establish the diagnosis clinically. This report describes a case of a 32-yr-old woman who presented with severe left calf pain for 10 yr. Initial conservative treatments consisting of intramuscular electrical stimulation, herb medication, acupuncture, and intramuscular lidocaine injection under the diagnosis of myofascial pain syndrome in other facilities, failed to alleviate the symptoms. On physical examination, there was no motor weakness or sensory change. Conventional radiography of the leg revealed a soft tissue phlebolith. Conventional angiography study showed hemangioma. Intramuscular hemangioma within the soleus muscle was confirmed by magnetic resonance imaging. Following surgical excision of the hemangioma, the patient's symptom resolved completely. Intramuscular hemangioma is a rare cause of calf pain and should be considered in the differential diagnosis if a patient with muscle pain, particularly if associated with a soft tissue mass, fails to respond to conservative treatment.

Original languageEnglish
Pages (from-to)580-582
Number of pages3
JournalJournal of Korean medical science
Volume22
Issue number3
Publication statusPublished - 2007 Jul 12

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Keywords

  • Calf
  • Hemangioma
  • Intramuscular
  • Myofacial pain syndrome
  • Pain

ASJC Scopus subject areas

  • Medicine(all)

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