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7 - An uncommon ethiology of equinizm: intramusculer hemangioma (case report)
Murat Gül, Sami Sökücü, Yavuz Kabukçuoglu, Fevziye Kabukcuoğlu, Ufuk Özkaya
Intramuscular hemangioma is an uncommon benign lesion and contributes % 0.8 of all hemangiomas. Diagnosis can only be done with histopathological evaluation in this type of tumor which presents clinically with pain, swelling and restriction of movements depending on its anatomical localization. 13 year old boy was admitted to the hospital with a history of pain, swelling in his right calf, presenting for the last five years. His major complaint was clinically increasing unilateral toe-walking. After having done the radiological evaluation, the diagnosis of intramuscular hemangioma was verified with tru-cut biopsy. This benign tumor caused contracture of the gastrocnemius muscle and lead to unilateral secondary equinism deformity of the foot. Tumor was excised by radical surgery. The gastrocnemius muscle was lengthened by the Vulpius procedure. No local recurrence was observed in the three year follow up. The patient had a normal gait pattern in his last follow up physical examination.
We wanted to share our experience with this unique tumor presenting with unique symptoms.
Keywords: Hemangioma, equinism
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