4岁女童膝关节滑膜血管瘤——病例报告
Synovial Hemangioma of Knee in 4-Year-Old Girl Child - A Case Report.
作者信息
Deshmukh Gajanan Kishor, Phute Uday Prabhakar, Bhange Dipak Bhimrao
机构信息
Department of Orthopedics Seth Nandlal Dhoot Hospital, Chhatrapati Sambhaji Nagar, Maharashtra, India.
出版信息
J Orthop Case Rep. 2025 May;15(5):161-164. doi: 10.13107/jocr.2025.v15.i05.5596.
INTRODUCTION
Synovial hemangioma of the knee is rare in children. It was first described in history by Bouchut in 1856 [1]. Hemangioma in children is difficult to diagnose, and chances of missing diagnosis are frequent. It is essential to treat hemangioma early, as delayed treatment can result in joint destruction and arthrosis.
CASE REPORT
We discuss the case report of a 4-year-old girl with non-traumatic recurrent knee swelling since 6 months previous episode 7 days back. The patient was previously treated with aspiration and a short course of antibiotics, magnetic resonance imaging (MRI) s/o synovitis; we opted for open excision of mass. On follow-up, the patient was completely disease-free.
CONCLUSION
Synovial hemangioma is difficult to diagnose in children, a high index of suspicion is required, MRI is an investigation of choice, and open or arthroscopic excision is the treatment of choice.
引言
儿童膝关节滑膜血管瘤较为罕见。1856年布舒首次对其进行了历史记载[1]。儿童血管瘤难以诊断，漏诊情况屡见不鲜。早期治疗血管瘤至关重要，因为延迟治疗可能导致关节破坏和关节炎。
病例报告
我们讨论了一名4岁女童的病例报告，该女童自7天前的上一次发作起6个月来一直出现非创伤性复发性膝关节肿胀。患者此前接受过抽液和短期抗生素治疗，磁共振成像（MRI）显示为滑膜炎；我们选择了肿物开放性切除术。随访时，患者疾病完全治愈。
结论
儿童滑膜血管瘤难以诊断，需要高度怀疑，MRI是首选检查方法，开放性或关节镜下切除术是首选治疗方法。
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