Intravenous Lobular Capillary Hemangioma Occurring after Needle Insertion during Routine Health Checkup

Abstract

Surgery was performed on a 53-year-old male patient with a painful mass in front of the elbow. The mass originally occurred after needle insertion during a routine health checkup and grew in size during a 1-year period. Intravenous tumor with arterio-venous fistula was diagnosed, and it was resected. Histopathological diagnosis of intravenous lobular capillary hemangioma was made. Occurrence of this tumor after a routine health checkup is rare. The etiology of this tumor occurring simultaneously with arteriovenous fistula is discussed.

Intravenous lobular capillary haemangioma (pyogenic granuloma): A case report and a review of imaging findings as reported in the literature

“…The literature search identified 55 papers, which were all reviewed. Thirty‐eight of these were relevant . It has been generally accepted that the paper by Cooper et al ., describing a series of 18 cases, was the first description of the lesion, but review of the earlier case report by Meyers suggests that he was the first to identify the pathology.…”

“…The CT appearance is typically described as an intraluminal mass, sometimes with hypodense foci and with heterogeneous enhancement following contrast administration …”

“…In one case, the T2 characteristics were not stated. Punctate or reticular low‐signal‐intensity areas may be present . Four cases report the use of MRI contrast, and all showed enhancement, two heterogeneous, and two homogenous …”

“…Intravenous lobular capillary haemangioma (IVLCH), commonly known as intravenous pyogenic granuloma, is a rare benign lesion of veins, usually in the head and neck regions or upper limbs. Average age at presentation is 41 years with a reported age range of 12 to 79 years …”

Intravenous Lobular Capillary Hemangioma in the Subclavian Vein

“…Some reports have suggested that this benign tumor might be associated with stimuli like trauma or infection [5] or perhaps arteriovenous malformations [3]. However, no significant evidence of such causes has yet been reported.…”