Intercostal Muscle Cavernous Haemangioma: A Chest Wall Pandora’s Box
  • Klein Dantis
    All India Institute of Medical Sciences, Raipur, India
  • Yashwant Kashyap
    All India Institute of Medical Sciences, Raipur, India
  • Aghosh Raju
    All India Institute of Medical Sciences, Bhopal, India
  • Swastik Bhardwaj
    All India Institute of Medical Sciences, Bhopal, India

Keywords

Cavernous haemangioma, chest wall tumour, histopathology, surgery

Abstract

Background: Haemangiomas are uncommon chest wall tumours arising outside the rib cage. Their occurrence in intercostal muscle is extremely rare.

Aim: We describe a case of intercostal muscle cavernous haemangioma as a differential diagnosis for chest wall swelling.

Case description: We describe an 18-year-old male patient with an asymptomatic left-sided chest wall swelling. Contrast-enhanced computed tomography revealed a well-defined homogenously non-enhancing mass lesion arising from the seventh intercostal muscle with differential diagnoses of various chest wall tumours. Clinical presentation and imaging findings were inconclusive, but histopathological examination following excision biopsy revealed a cavernous haemangioma. The present case emphasizes the importance of histopathological diagnosis when clinical and radiological examination is inconclusive. Hence, it is necessary to consider intercostal muscle haemangiomas as a differential diagnosis for chest wall tumours in the absence of a feeding vessel.

Conclusion: Despite its rare occurrence, intercostal muscle haemangioma must be considered as a differential diagnosis in chest wall tumours even in the absence of a feeding vessel. We believe that histopathology can provide a definitive diagnosis when most investigative procedures are inconclusive.

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References

  • Scott JE. Haemangioma in skeletal muscle. Br J Surg 1957;44:496–501.
  • Ulku R, Onat S, Avci A, Ozmen CA. Resection of intercostal hemangioma with involved chest wall and ribs: in an 11-year-old girl. Tex Heart Inst J 2010;37(4):486–489.
  • Dzian A, Hamzík J. Intercostal hemangioma of the chest wall. Kardiochir Torakochirurgia Pol 2016;13(1):58–60.
  • Nam SJ, Kim S, Lim BJ, Yoon CS, Kim TH, Suh JS, et al. Imaging of primary chest wall tumors with radiologic-pathologic correlation. Radiographics 2011;31(3):749–770.
  • Elbawab H, Alreshaid F, Hashem T, Alnasser A, Husain R, Aljehani Y. Intercostal hemangioma: case report of a rare chest wall tumor in childhood. Int J Surg Case Rep 2019;60:319–322.
  • Sanna S, Brandolini J, Pardolesi A. Materials and techniques in chest wall reconstruction: a review. J Vis Surg 2017;3:95.

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    Published: 2021-01-27
    Issue: 2021: Vol 8 No 1 (view)

    How to cite:
    1.
    Dantis K, Kashyap Y, Raju A, Bhardwaj S. Intercostal Muscle Cavernous Haemangioma: A Chest Wall Pandora’s Box: Intercostal muscle cavernous hemangioma. EJCRIM 2021;8 doi:10.12890/2021_002248.