Synovial hemangioma localized in the knee joint and diagnosed in adulthood: MRI findings and surgical treatment
Synovial hemangioma: MRI and surgery
Keywords:
synovial hemangioma, knee joint, recurrent effusion, hemarthrosis, MRI, surgical excisionAbstract
Synovial hemangioma is a rare vascular issue that can lead to persistent knee swelling and bleeding within the joint. It is typically seen in children and young adults but can also affect those in older age groups. Because the symptoms and x-ray results are not specific, it is often diagnosed late. Magnetic Resonance Imaging (MRI) is the best process for identifying and understanding the characteristics of synovial hemangioma. The recommended treatments are surgical removal and partial synovectomy, both of which offer good outcomes and minimal chance of recurrence. We discuss a case of a 48-year-old man with synovial hemangioma in the knee joint. His symptoms included swelling, pain, and restricted movement. His medical history included regular drainage of persistent knee swelling. An MRI highlighted typical features of synovial hemangioma, such as enlarged veins, looped or linear patterns, and greater visibility under gadolinium. He underwent a successful open surgery with partial synovectomy and mass removal. The pathology report confirmed the diagnosis of synovial hemangioma. Post-surgery, the patient had no complications and showed significant symptom reduction and better movement range 6 months later.
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References
Suh JT, Cheon SJ, Choi SJ. Synovial hemangioma of the knee. Arthroscopy. 2003 Sep;19(7):E27-30. doi: 10.1016/s0749-8063(03)00691-1. DOI: https://doi.org/10.1016/S0749-8063(03)00691-1
Akgün I, Kesmezacar H, Oğüt T, Dervişoğlu S. Intra-articular hemangioma of the knee. Arthroscopy. 2003 Mar;19(3):E17. doi:1 0.1053/jars.2003.50068. DOI: https://doi.org/10.1053/jars.2003.50068
Vakil-Adli A, Zandieh S, Hochreiter J, Huber M, Ritschl P. Synovial hemangioma of the knee joint in a 12-year-old boy: a case report. J Med Case Rep. 2010 Apr 12;4:105. doi: 10.1186/1752-1947-4-105. PMID: 20385009; PMCID: PMC2865500. DOI: https://doi.org/10.1186/1752-1947-4-105
Cotten A, Flipo RM, Herbaux B, Gougeon F, Lecomte-Houcke M, Chastanet P. Synovial hemangioma of the knee: a frequently misdiagnosed lesion. Skeletal Radiol. 1995 May;24(4):257-61. doi: 10.1007/BF00198409. PMID: 7644936. DOI: https://doi.org/10.1007/BF00198409
Narváez JA, Narváez J, Aguilera C, De Lama E, Portabella F. MR imaging of synovial tumors and tumor-like lesions. Eur Radiol. 2001;11(12):2549-60. doi: 10.1007/s003300000759. Epub 2001 Mar 9. PMID: 11734958. DOI: https://doi.org/10.1007/s003300000759
Greenspan A, Azouz EM, Matthews J 2nd, Décarie JC. Synovial hemangioma: imaging features in eight histologically proven cases, review of the literature, and differential diagnosis. Skeletal Radiol. 1995 Nov;24(8):583-90. doi: 10.1007/BF00204857. PMID: 8614857. DOI: https://doi.org/10.1007/BF00204857
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Copyright (c) 2024 Emrah Akay , Fatih Erdem , Bahar Yanık , Aziz Atik , Erdoğan Bülbül , Gülen Demirpolat
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