Young male with a small painful skin lesion and
Imaging Studies & Diagnosis & Treatment:
First image is a leg
arteriography. There is a small vascular lesion with a few
tiny arterial feeding arteries from the peroneal artery.
There is not obvious rapid filling of the veins to suggest
arteriovenous malformation. However, in early phases of AVM,
this may be seen. This is more suggestive of a benign
intramuscular hemangioma tumor. 2nd image is the same stusy
with different projection, again demonstrating small
arterial feeders. 3rd image is a selective injection of the
arterial feeder outlining the lesion with a relatively rapid
filling of the regional draining veins.
This lesion was treated
embolization using small particles. 4th image is a
port-embolization arteriography. The lesion is no longer
seen after the embolization.