Main Article Content
Abstract
Highlights:
- Hemangioma of the hand is a challenging case due to the need to maximize eradication of the mass while minimizing damage to the healthy tissue to preserve the physiologic function of the hand.
- The reconstruction of the defect also needs to be taken into account to maintain the cosmetical appearance.
- Collaborative multidisciplinary work is essential to achieve these demands and maintain the patient's quality of life.
Abstract:
Hemangiomas are known for their typical involution with age. However, around 40% of cases require intervention. Hemangioma in hand is challenging because the hand function and the aesthetic appearance need to be preserved. Hereby we reported a 21-year-old woman with a recurrent hemangioma on the left hand in Abdul Wahab Sjahranie Hospital, Samarinda, Indonesia. The patient's previous surgery was ineffective since the mass reappeared in the same area. We performed surgical excision and reconstruction with an abdominal flap. One-month and one-year postoperative follow-up indicated good flap viability and preserved hand functions without the need for amputation. This report also emphasizes the importance of collaboration from multiple surgical and medical fields to allow favorable outcomes in this case.
Keywords
Article Details
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References
- Ali A, Farag M, Safe K (2007). Reconstruction of hand and forearm defects by abdominal thin skin flaps. Egypt. J. Plast. Reconstr. Surg. 31, 181–185.
- Chen H, Chen B, Li B, et al (2021). Gastrodin promotes the survival of random-pattern skin flaps via autophagy flux stimulation. Oxid. Med. Cell. Longev. 2021, 1–16.
- Hawary Y (2020). Usage of reversed radial forearm flap for reconstruction of hand and wrist defects. Egypt. Soc. Plast. Reconstr. Surg. 44, 47–51.
- Henderson J, Wierzbicki J, Clugston J, et al (2010). Ten years of lower leg pain: Intramuscular hemangioma. Med. Sci. Sport. Exerc. 42, 1–5.
- Jacobs B, Anzarut A, Imbriglia J (2010). Vascular anomalies of the upper extremity. J. Hand Surg. Am. 35, 1703–1709.
- Kamala K, Ashok L, Sujatha G (2014). Cavernous hemangioma of the tongue: A rare case report. Contemp. Clin. Dent. 5, 95–98.
- Katz D, Damron T (2021). Orthopedic surgery for hemangioma. Available from http://emedicine.medscape.com/article/1255694-overview. Accessed January 26, 2021.
- Kiran K, Babu T, Babu S, et al (2012). Skeletal muscle haemangioma: A cause for chronic pain about the knee: A case report. Case Rep. Orthop. 2012, 1–6.
- Kryzak T, DeGroot H (2008). Adult-onset flatfoot is associated with an intramuscular hemangioma of the posterior tibialis muscle. Orthopedics 31, 280.
- Kumari V, Vallabhan C, Geetha S, et al (2015). Atypical presentation of capillary hemangioma in oral cavity- A case report. J. Clin. Diagnostic Res. 9, 26–28.
- Lin W, Zheng T, Wang Q (2005). Study on the effect of pedicle skin flap of subdermal vascular plexus on repairing the hand injury. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 19, 528–530.
- Lu H, Chen Q, Yang H, et al (2017). Aggressive intramuscular hemangiomas in the upper extremity: A case report. Med. 96, 1–5.
- Mitsionis G, Pakos E, Kosta P, et al (2010). A intramuscular hemangioma of the foot: A case report and review of the literature. Food Ankle Surg. 16, 27–29.
- Monreal R, Gomez D, Osinaga G, et al (2017). Reconstruction of the hand defects by pedicled abdominal thin skin flaps. Juniper Online J. Orthop. Orthoplastic Surg. 1, 1–4.
- Richter G, Friedman A (2012). Hemangiomas and vascular malformations: Current theory and management. Int. J. Pediatr. 2012, 1–12.
- Shah P, Maganur P, Bhat M, et al (2014). Capillary hemangioma in maxillary anterior region: A case report. Int. J. Clin. Pediatr. Dent. 7, 144–147.
- Tang P, Hornicek F, Gebhardt M, et al (2002). Surgical treatment of hemangiomas of soft tissue. Clin. Orthop. Relat. Res. 399, 205–210.
- Wierzbicki J, Henderson J, Scarborough M, et al (2013). Intramuscular hemangiomas. Sports Health 5, 448–454.
- Wild A, Raab P, Krauspe R (2000). Hemangioma of skeletal muscle. Arch. Orthop. Trauma Surg. 120, 139–143.
References
Ali A, Farag M, Safe K (2007). Reconstruction of hand and forearm defects by abdominal thin skin flaps. Egypt. J. Plast. Reconstr. Surg. 31, 181–185.
Chen H, Chen B, Li B, et al (2021). Gastrodin promotes the survival of random-pattern skin flaps via autophagy flux stimulation. Oxid. Med. Cell. Longev. 2021, 1–16.
Hawary Y (2020). Usage of reversed radial forearm flap for reconstruction of hand and wrist defects. Egypt. Soc. Plast. Reconstr. Surg. 44, 47–51.
Henderson J, Wierzbicki J, Clugston J, et al (2010). Ten years of lower leg pain: Intramuscular hemangioma. Med. Sci. Sport. Exerc. 42, 1–5.
Jacobs B, Anzarut A, Imbriglia J (2010). Vascular anomalies of the upper extremity. J. Hand Surg. Am. 35, 1703–1709.
Kamala K, Ashok L, Sujatha G (2014). Cavernous hemangioma of the tongue: A rare case report. Contemp. Clin. Dent. 5, 95–98.
Katz D, Damron T (2021). Orthopedic surgery for hemangioma. Available from http://emedicine.medscape.com/article/1255694-overview. Accessed January 26, 2021.
Kiran K, Babu T, Babu S, et al (2012). Skeletal muscle haemangioma: A cause for chronic pain about the knee: A case report. Case Rep. Orthop. 2012, 1–6.
Kryzak T, DeGroot H (2008). Adult-onset flatfoot is associated with an intramuscular hemangioma of the posterior tibialis muscle. Orthopedics 31, 280.
Kumari V, Vallabhan C, Geetha S, et al (2015). Atypical presentation of capillary hemangioma in oral cavity- A case report. J. Clin. Diagnostic Res. 9, 26–28.
Lin W, Zheng T, Wang Q (2005). Study on the effect of pedicle skin flap of subdermal vascular plexus on repairing the hand injury. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 19, 528–530.
Lu H, Chen Q, Yang H, et al (2017). Aggressive intramuscular hemangiomas in the upper extremity: A case report. Med. 96, 1–5.
Mitsionis G, Pakos E, Kosta P, et al (2010). A intramuscular hemangioma of the foot: A case report and review of the literature. Food Ankle Surg. 16, 27–29.
Monreal R, Gomez D, Osinaga G, et al (2017). Reconstruction of the hand defects by pedicled abdominal thin skin flaps. Juniper Online J. Orthop. Orthoplastic Surg. 1, 1–4.
Richter G, Friedman A (2012). Hemangiomas and vascular malformations: Current theory and management. Int. J. Pediatr. 2012, 1–12.
Shah P, Maganur P, Bhat M, et al (2014). Capillary hemangioma in maxillary anterior region: A case report. Int. J. Clin. Pediatr. Dent. 7, 144–147.
Tang P, Hornicek F, Gebhardt M, et al (2002). Surgical treatment of hemangiomas of soft tissue. Clin. Orthop. Relat. Res. 399, 205–210.
Wierzbicki J, Henderson J, Scarborough M, et al (2013). Intramuscular hemangiomas. Sports Health 5, 448–454.
Wild A, Raab P, Krauspe R (2000). Hemangioma of skeletal muscle. Arch. Orthop. Trauma Surg. 120, 139–143.