Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Orthopaedics, Changsha Central Hospital, Changsha, Hunan, China.
J Int Med Res. 2020 Dec;48(12):300060520966897. doi: 10.1177/0300060520966897.
An intramuscular hemangioma is a benign vascular tumor that often occurs in the lower extremities. We herein report a rare case of an intramuscular hemangioma that occurred in the gluteus medius muscle and was misdiagnosed as lumbar disc herniation. A 36-year-old woman presented with incidental and infrequent pain of the left buttock. She was diagnosed with lumbar disc herniation and underwent treatment. Although her pain was slightly relieved, relapse soon occurred. X-ray examination and magnetic resonance imaging revealed a mass in the gluteus medius muscle. The mass was suspected to be a malignant tumor and was therefore resected. The final diagnosis was an intramuscular hemangioma. Her pain completely disappeared thereafter and did not recur. Patients with intramuscular hemangiomas usually have no specific symptoms; therefore, this tumor is often misdiagnosed. When a satisfactory treatment effect is not obtained, the diagnosis should be reassessed in a timely manner.
肌内血管瘤是一种常见于下肢的良性血管肿瘤。本文报告 1 例罕见的发生于臀中肌的肌内血管瘤，该病例最初误诊为腰椎间盘突出症。1 例 36 岁女性，因左侧臀部偶发、间断性疼痛就诊，诊断为腰椎间盘突出症，并接受了相应治疗。虽然患者疼痛稍有缓解，但很快再次发作。X 线片和磁共振成像显示臀中肌内有一肿块。肿块疑似恶性肿瘤，故行切除术。最终诊断为肌内血管瘤。术后患者疼痛完全消失，且未再复发。肌内血管瘤患者通常无特异性症状，因此易被误诊。当治疗效果不佳时，应及时重新评估诊断。
