scholarly journals A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

2020 ◽  
Vol 13 (3) ◽  
pp. 1082-1090
Author(s):  
Rosy Setiawati ◽  
Vivid Umi Varidha ◽  
Giuseppe Guglielmi ◽  
Filippo Del Grande
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Glenohumeral Joint ◽  
Axillary Artery ◽  
Pathologic Fracture ◽  
Range Of Movement ◽  
Artery Pseudoaneurysm ◽  
Tissue Tumor ◽  
History Of ◽  
The Right

Traumatic lesions of the axillary artery itself are limited to 2.9–9% of major arterial injuries. Pseudoaneurysms represent a pulsating encapsulated hematoma in communication with the lumen of a ruptured vessel. Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to the shoulder region. We describe a case of posttraumatic pseudoaneurysm involving the axillary artery, which was initially misdiagnosed as an aggressive soft tissue tumor. The man presented 10 years after an injury from a fall from a tree with a slowly growing mass in the right upper limb region and reduced range of movement. This is a neglected case with a history of traditional massage. The patient presented a pathologic fracture of the right proximal humerus and dislocation of the glenohumeral joint. At the beginning, it was suggested to be a primary soft tissue tumor, but after several examinations, including comparable X-ray, ultrasound, and histopathology, the results did not support a soft tissue tumor. Magnetic resonance imaging and computed tomography angiography (CTA) finally confirmed the finding of a pseudoaneurysm of the right axillary artery associated with a huge hematoma with different age of the bleeding product and granulation tissue. This case demonstrates the necessity of early diagnosis of axillary artery pseudoaneurysm to prevent complications after a history of trauma. CTA is a useful modality to evaluate vascular injury and provides valuable information.

Nontraumatic Proximal Ulnar Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor in Image Modality

2018 ◽  
Vol 47 ◽  
pp. 279.e1-279.e5 ◽  
Author(s):  
Hiromu Kehara ◽  
Yuko Wada ◽  
Daisuke Fukui ◽  
Kunihiko Shingu ◽  
Tatsuichiro Seto ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Ulnar Artery ◽  
Artery Pseudoaneurysm ◽  
Tissue Tumor ◽  
Image Modality

CASE REPORT : LIPOSARCOMA OF THE SHOULDER

2021 ◽  
pp. 35-36
Author(s):  
Tannistha Chakraborty ◽  
Vamsi Krishna ◽  
T. Raghupathy
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Benign Neoplasm ◽  
Soft Tissue Tumours ◽  
Long Duration ◽  
Cutaneous Localization ◽  
History Of ◽  
Local Radiation ◽  
The Right ◽  
Malignant Soft Tissue

Lipoma, a benign neoplasm of adipocytes, is the most common mesenchymal soft tissue tumor of adulthood, but rarely present with huge sizes in their cutaneous localization. Liposarcomas are the second most common soft tissue sarcoma following malignant brous histiocytoma. They comprise approximately 16-18% of all malignant soft tissue tumours. It is most common in the trunk followed by lower extremity, upper extremity and head and neck.. While lipomas can be clinically diagnosed , transformation of lipomas into liposarcoma is rare. Here we report the case of a 55 gentleman, who came with a history of swelling over the right shoulder with a probable malignant transformation due to history of long duration of presence of swelling. Management is usually by wide excision. Local radiation and chemotherapy may be necessary for high grade lesions.

scholarly journals Intraarticular osteochondroma of distal humerus, proximal radius and ulna

2015 ◽  
Vol 12 (2) ◽  
pp. 137-139
Author(s):  
P Chaudhary ◽  
B P Shrestha ◽  
G P Khanal ◽  
R Maharjan ◽  
R Rijal ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Elbow Joint ◽  
Soft Tissue Tumor ◽  
Distal Humerus ◽  
Loose Body ◽  
Loose Bodies ◽  
Joint Cavity ◽  
Tissue Tumor ◽  
One Year ◽  
The Right

Intraarticular location of osteochondroma is very rare and only few such cases have been reported in the literature previously. Intraarticular osteochondroma generally appears as a single loose body or multiple loose bodies in the joint cavity. We present here a case of 38-year-old lady who presented in the out patients department of Orthopaedics, BPKIHS, Dharan with pain and swelling in and around the right elbow joint for previous one year. She sought treatment in many centers of easternNepalandB.PKoiralaCancerHospital, Bharatpur in the line of soft tissue tumor. Due to its rarity and unique characteristics, we herein report the case of intraarticular osteochondroma of elbow joint.Health Renaissance 2014;12(2): pp: 137-139

scholarly journals P046 Pointing the finger: an unusual presentation of dactylitis

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Natalia Cernovschi - Feasey ◽  
Julekha Wajed
Keyword(s):  
Pleural Effusion ◽  
Soft Tissue ◽  
Middle Finger ◽  
Joint Involvement ◽  
Long Bones ◽  
History Of ◽  
Systemic Symptoms ◽  
The Right ◽  
Hands And Feet ◽  
Radiographic Changes

Abstract Background/Aims  Dactylitis is commonly associated with psoriatic arthritis, and regularly presents at Rheumatology clinics. We discuss a case where progressive systemic symptoms lead to the consideration of alternate diagnoses. Methods  A 46-year-old Nepalese woman presented to the Rheumatology department with a 3 month history of diffuse swelling of the right middle finger proximal interphalangeal joint, with the appearance of dactylitis. There was pain on movement, but no other joint involvement. Simultaneously she noticed blurred and decreased vision, which on review by the ophthalmologists, was diagnosed with bilateral uveitis. There was no history of psoriasis, inflammatory bowel disease, or other past medical history of note. There was no travel history in the past 12 months. A diagnosis of a presumed inflammatory arthritis was made. Results  Blood tests showed elevated c-reactive protein 55 (normal <4 mg/l), erythrocyte sedimentation rate 138 (normal 0-22 mm/hr) and an iron deficiency anaemia. Rheumatoid factor and Anti-CCP antibody were negative. Hand radiographs were reported as normal. MRI of the third digit confirmed an enhancing soft tissue collection at the proximal phalanx of the right middle finger. She was referred for a biopsy of this lesion. Interestingly over the subsequent few months, she developed progressive breathlessness. Chest radiograph showed a left pleural effusion. Further tests showed negative serum ACE, Lyme and Toxoplasma screen. Quantiferon test was negative. Pleural aspirate showed a transudate with negative Acid-fast bacillus (AFB) test and culture. CT chest and abdomen showed a persistent pleural effusion, inflammatory changes in the small bowel and thickening of the peritoneum and omentum. In view of the systemic involvement, a peritoneal tissue biopsy was performed. This confirmed chronic granulomatous inflammation with positive AFB stain for mycobacterium tuberculosis. Our patient was started on quadruple anti- TB antibiotics for 6 months. Her systemic symptoms and dactylitis have improved, although there is on-going treatment for her ocular involvement. Conclusion  Approximately 10% of all cases of extrapulmonary TB have osteoarticular involvement. Dactylitis is a variant of tuberculous osteomyelitis affecting the long bones of the hands and feet. It occurs mainly in young children; however adults may be affected also. The first manifestation is usually painless swelling of the diaphysis of the affected bone followed by trophic changes in the skin. The radiographic changes are known as spina ventosa, because of the ballooned out appearance of the bone, although this was not seen in our case. Fibrous dysplasia, congenital syphilis, sarcoidosis and sickle cell anaemia may induce similar radiographic changes in the metaphysis of long bones of hands and feet, but do not cause soft tissue swelling or periosteal reaction. This case highlights the importance of testing for TB, especially in atypical cases of dactylitis, with other systemic features. Disclosure  N. Cernovschi - Feasey: None. J. Wajed: None.

scholarly journals A Case of Huge Soft Tissue Tumor of Thigh

2005 ◽  
Vol 54 (3) ◽  
pp. 578-581
Author(s):  
Takashi Maekawa ◽  
Toshitake Yakushiji ◽  
Yasuhiro Kawazoe ◽  
Katsuya Iwamoto ◽  
Hiroo Satou ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Tissue Tumor
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