Intramuscular venous malformation of foot

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Progressive swelling in sole of left foot for 6 months along with pain exacerbated on exercise. Soft swelling with local paresthesia was found on examination.

Patient Data

Age: 13 years
Gender: Male

Ill-defined soft tissue swelling of sole of foot with calcified foci.

Ultrasound

Longitudional scan through sole of right foot shows multiple dilated and tortuous vascular channels with sluggish flow on color Doppler which is enhanced on compression. A phlebolith could also  be identified (arrow).  

MRI showing low flow / venous malformation. No vascular flow voids seen.

Case Discussion

Venous malformations are postcapillary dilated venous spaces characterized by stagnant flow, lack of normal venous valves, and absence of arteriovenous shunting. Venous malformations are the most common peripheral vascular malformation 1.

Common locations are head and neck (40%), trunk (20%), and extremities (40%) 2.

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Case information

rID: 34884
Case created: 12th Mar 2015
Last edited: 8th Dec 2015
Inclusion in quiz mode: Included

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