Hemangiomas are benign vascular tumors of the endothelial cells and characterized by increased number of normal or abnormal vessels filled with blood. Most true hemangiomas involute with time, but a certain small percentage does not, which may present with complications that require treatment. An estimated 10 to 20% of the true hemangiomas incompletely involute and require ablative treatment. Hemangiomas are probably one of the most underestimated and misunderstood vascular tumors and it is every diagnostician and clinician's imperative to have a sound knowledge of these tumors to thus provide successful treatment to the patients.Conventional surgical excision of hemangioma can cause severe bleeding in the operative site, which on the other hand can be well controlled by the coagulative effect of the CO 2 laser, by virtue of a painless vaporization of the tissue. The purpose of this case study is to understand hemangiomas and the importance and efficacy of the minimally invasive, hemostatic effect of a CO 2 and little postoperative scarring and morbidity in comparison to the conventional surgical techniques.
Iliopsoas haematoma is a rare complication of anticoagulation therapy, presents with sudden onset of groin or flank pain, with or without neurological manifestation of the lower extremity due to femoral neuropathy. Computed Tomography of abdomen and pelvis is the most useful tool for diagnosis. Treatment options are conservative therapy, surgical decompression, ultrasound guided percutaneous drainage or trans-catheter arterial embolisation. We report a case of iliopsoas haematoma, in a 28 years old male, post aortic valve replacement on oral anticoagulation therapy, presenting with right groin and flank pain with paraesthesia of right lower limb.
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