Abstract
Intramuscular hemangiomas are benign tumors that consist of a heterogeneous mixture of various blood vessel types and stromal parenchyma. They are among the most common soft tissue tumors and may occur in deep structures such as muscle, tendon, connective tissue, and synovium. The most common location for these tumors is intramuscularly. The varied clinical and radiographic presentations of these tumors often lead to misdiagnosis by both radiologists and Orthopaedic surgeons. The phenomenon of hemangiomas causing osseous change in neighboring bone is not unfounded however it continues to be overlooked radiographically. Cortical, medullary, and periosteal bone changes are associated with regional hemangiomas. The purpose of this report is to present a patient with a hemangioma of the lower extremity who was originally misdiagnosed after undergoing thorough assessment with multiple radiographic modalities. We performed a literature review of the clinical and radiographic manifestations of hemangiomas.
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