Bilateral brachial artery infiltration by tumoral calcinosis: A case report

Abstract

We, herein, presented a rare case of bilateral brachial artery infiltration by tumoral calcinosis located on both elbows. A 58-year-old man presented with a history of painless, palpable solid mass restricting the range of motion of both elbows. These masses were located on the anterior aspect of the elbows and gradually enlarged. After clinical, laboratory and radiological examinations, tumoral calcinosis was suspected, and excisional biopsy was planned for a definite diagnosis. Surgery was first performed on the left elbow. The median nerve was found to be compressed but not infiltrated by the mass. Interestingly, the brachial artery was totally infiltrated throughout the entire mass. Occlusion was observed in the brachial artery located within the mass. The tumor on the left elbow, 8.5 × 5.5 × 2.5 cm in size, was totally excised with approximately 12-cm brachial artery segment. The artery was resected until the healthy tissue was reached. The defect was reconstructed with saphenous vein graft obtained from the ipsilateral lower extremity. The same surgical procedure was performed on the right elbow after 3 months. The tumor size on the right elbow was 7 × 3.5 × 1.7 cm. Approximately 15-cm brachial artery segment was excised, and the defect was reconstructed with saphenous vein graft. Tumoral calcinosis is a rare benign condition that can be located in close relationship with neurovascular structures. In such cases, detailed neurologic and vascular examination, including imaging modalities, for arterial flow is essential to establish a more accurate surgical plan and avoid any unexpected situation during surgery.

Role of Point of Care Ultrasound in the Absence of Radial pulse and unrecordable Blood pressure during the Assessment of Shock: Case report

“…Another cause for similar event is acute occlusion of the arteries. The acute occlusion could be the result of emboli, blunt trauma, in ltrative diseases and bromuscular dysplasia [12][13][14][15][16][17][18][19] . Bilateral occlusions are very rare.…”

“…Bilateral brachial artery occlusion is a rare event that can occur in the setting of atrial brillation, sepsis or bromuscular dysplasia. Emboli, local arteriosclerosis disease process, blunt trauma and local in ltrative processes lead to occlusion [12][13][14][15][16][17][18][19] . Prompt diagnosis is of paramount importance for early intervention to save a limb.…”

“…Acute occlusion could be the result of emboli, and blunt trauma. Gradual occlusion is the result of in ltrative diseases and bromuscular dysplasia [12][13][14][15][16] . Bilateral occlusions are very rare.…”

Role of point of care ultrasound in the absence of radial pulse and unrecordable blood pressure during the assessment of shock: Case report

“…Another cause for similar events is acute occlusion of the arteries. The acute occlusion could result from emboli, blunt trauma, infiltrative diseases, and fibromuscular dysplasia [ [12] , [13] , [14] , [15] , [16] , [18] , [19] , [20] ]. Bilateral occlusions are very rare.…”

“…Acute occlusion could be the result of emboli and blunt trauma. Gradual occlusion can occur from infiltrative diseases and fibromuscular dysplasia [ [12] , [13] , [14] , [15] , [16] ]. Bilateral occlusions are very rare.…”