Abstract
Intramuscular haemangiomas are very rare benign tumors making up less than 1% of all haemangiomas. Among intramuscular haemangiomas, abdominal muscle haemangiomas are the rarest. A 17 year old boy presented to us with a lump in the left side of his abdomen for 12years which was operated upon once. The lump has gradually increased to its present size of 7X4 cm in the umbilical and hypogastric regions. On examination underneath the scar it was soft, compressible and non pulsatile. His routine investigations were within normal limits. Doppler sonography showed a mass lesion with sinusoidal channels in the left rectus muscle and delineated the feeding vessel from the left inferior epigastric artery. Patient underwent excision of the haemangioma with part of the rectus muscle and ligation of the left inferior epigastric artery. The defect in the abdominal wall was repaired with single layer of polypropylene mesh. Post operative histopathological examination showed cavernous haemangioma from the left rectus muscle. He is well and disease free 18 months after surgery.
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