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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med Chin    2009, Vol. 3 Issue (2) : 240-244     DOI: 10.1007/s11684-009-0031-8
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()
Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
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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.

Keywords cavernous hemangioma      femoral artery      ligation, amputation     
Corresponding Authors: JIN Bi,Email:jinbiwuhan2000@yahoo.com.cn   
Issue Date: 05 June 2009
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-009-0031-8     OR     http://academic.hep.com.cn/fmd/EN/Y2009/V3/I2/240
Fig.1  Hemangioma. (a) Hemangioma involving the lower limb, presenting with increasing swelling, pain, and bluish discoloration of overlying skin and superficial dilated veins; (b) same hemangioma lesion involving the perineal region.
Fig.2  MR and MRA results of the hemangioma. (a) Cavernous hemangioma extensively invading the muscular tissue of the lower limb; (b) same hemangioma lesion extensively invading the muscular tissue of the perineal region; (c) no abnormal gross vessels were found in the arterial phase; (d) considerable gross vessels and varicose small saphenous vein in the postarterial phase and venous phase.
Fig.3  Pathological examination of the hemangioma. (a) The pathological sections showed samples obtained from amputated leg were characterized by typical blood vessels and vascular sinusoids of hemangioma; (b) typical vascular sinusoids of hemangioma found in the samples of amputated leg. (×100, hematoxylin-eosin stain).
Fig.4  Recovering of the amputation wound. (a) Delayed union due to suture reaction; (b) stoma closed completely resulting from 1 month changing dressing.
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