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Current Rheumatology Reviews

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ISSN (Print): 1573-3971
ISSN (Online): 1875-6360

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Case Report

Undiagnosed Intra-articular Synovial Hemangioma: A Rare Cause of Knee Pain and Swelling

Author(s): Gayathri Drondula, Jyotsna Bharti*, Jyoti Verma, Samireddypalle Yugandhar and Purushotham Lingaiah

Volume 20, Issue 3, 2024

Published on: 02 January, 2024

Page: [332 - 336] Pages: 5

DOI: 10.2174/0115733971266035231123154807

Price: $65

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Abstract

Introduction: Synovial hemangioma is a benign soft-tissue tumor of vascular origin. Hemangioma only accounts for 1% of all bone lesions and is mostly an incidental finding among the primary skeleton tumors. A delay in diagnosis results in joint degeneration and osteoarthritic damage because of infiltrating tumor growth.

Case Presentation: We presented a rare case of an intra-articular synovial hemangioma in a 13- year-old pediatric patient who was asymptomatic for 5 years. She attended orthopedics OPD at AIIMS, Mangalagiri. Surgical excision of the mass and partial synovectomy was done. Synovial hemangioma came out to be the diagnosis following a histologic study.

Conclusion: As radiography has limited diagnostic ability, synovial hemangiomas are difficult and challenging to identify on an outpatient basis. Histological examination and magnetic resonance imaging are extremely helpful. To minimize the hemarthrosis risks, early complete excision can be used as the best treatment modality.

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Graphical Abstract

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