Alam Syed Intakhab, Nepal Pankaj, Sajid Sadia, Al-Bozom Issam, Salah Mohamed Marshad, Muneer Ahmed
Department of Clinical Imaging, Hamad Medical Corporation, Doha, Qatar.
Department of Radiology, St. Vincent's Medical Center, Bridgeport, CT.
Ann Vasc Surg. 2020 Aug;67:563.e13-563.e17. doi: 10.1016/j.avsg.2020.02.028. Epub 2020 Mar 20.
We present a rare case of epithelioid hemangioendothelioma arising from the wall of ulnar artery in distal forearm. The presentation was interesting in a 34-year-old man, with progressively worsening symptoms of ulnar neuropathy. A mass was seen arising from the ulnar artery on imaging with ultrasound and magnetic resonance imaging. Soft tissue epithelioid hemangioendothelioma in extremities almost always arise from the veins. Existing literature do not have elaborated imaging findings of epithelioid hemangioendothelioma arising from the arterial wall. The aim of this paper is to briefly review the interesting presentation and imaging features of this rare entity. Knowledge of such vascular tumor would avoid the mishap during surgery. Our case will add an interesting presentation of such rare pathology to the existing literature.
我们报告一例罕见的起源于前臂远端尺动脉壁的上皮样血管内皮瘤。该病例为一名34岁男性,表现有趣,伴有逐渐加重的尺神经病变症状。超声和磁共振成像检查发现尺动脉有一肿物。四肢软组织上皮样血管内皮瘤几乎总是起源于静脉。现有文献中尚未详细阐述起源于动脉壁的上皮样血管内皮瘤的影像学表现。本文旨在简要回顾这一罕见病例的有趣表现及影像学特征。了解此类血管肿瘤有助于避免手术中的意外情况。我们的病例将为现有文献增添这种罕见病理的有趣表现。