Dudhe Sakshi, Nimodia Devyansh, Mishra Gaurav V, Parihar Pratapsingh Hanuman, Kumari Anjali, Kotla Rishitha
Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India 442001.
Department of Psychiatry, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India, 442001.
Radiol Case Rep. 2024 Nov 22;20(2):886-892. doi: 10.1016/j.radcr.2024.10.105. eCollection 2025 Feb.
An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation. Diagnosis can be particularly challenging when the skin covering the area appears normal. We present a 12-year-old male who presented with pain and swelling on the supra-patellar part of right knee for three months. He experienced some painonly during movements. Magnetic resonance imaging (MRI) and ultrasound were used for evaluation. It was confirmed that the patient had a VLM in the vastus medialis, vastus lateralis, and vastus intermedis muscles, intermuscular plane, and suprapatellar bursa region, along with a Morrant Baker cyst. The diagnostic modalities of MRI can be used with confidence to diagnose VLM swellings in the extremities.
一种罕见的先天性疾病，称为膝关节静脉淋巴管畸形（VLM），是由于静脉和淋巴系统发育不当而形成的。它是一种特殊类型的血管异常，会影响淋巴管和静脉，导致这些血管异常生长和扩张。这类畸形并不直接与主要通道相连，而是根据畸形的具体类型表现为肿胀或其他特征。当覆盖该区域的皮肤看起来正常时，诊断可能会特别具有挑战性。我们报告一名12岁男性，他右膝髌上部分疼痛和肿胀三个月。他仅在活动时感到一些疼痛。使用磁共振成像（MRI）和超声进行评估。证实该患者在内侧股四头肌、外侧股四头肌、股中间肌、肌间平面和髌上囊区域存在VLM，同时伴有莫兰特·贝克囊肿。MRI的诊断方式可放心用于诊断四肢的VLM肿胀。
