An unusual presentation of traumatic pseudoaneurysm of axillary artery mimicking soft tissue tumor

Charcot arthropathy is a chronic, degenerative condition and is associated with decreased sensorial innervation. Numerous causes of this arthropathy have been described. Here we report a case of neuropathic arthropathy secondary to syringomyelia which was misdiagnosed as a soft tissue tumor and treated surgically and additionally with radiotherapy at another institution. The patient had clinical and radiological signs of syringomyelia, associated with a limited range of motion, swelling, and pain in the affected joint. Neuropathic arthropathy, although less common, should be considered in cases of unexplained joint swelling, pain, and limited range of motion of the affected joint.

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An unusual presentation of a rare soft tissue tumor in the tongue: Inflammatory myofibroblastic tumor

International Journal of Pediatric Otorhinolaryngology Extra ◽

10.1016/j.pedex.2016.11.003 ◽

2017 ◽

Vol 15 ◽

pp. 1-3

Author(s):

Sonam Dodhia ◽

Valeria Silva Merea ◽

Hanina Hibshoosh ◽

Marilyn Nedumcheril ◽

David A. Gudis ◽

...

Keyword(s):

Soft Tissue ◽

Inflammatory Myofibroblastic Tumor ◽

Soft Tissue Tumor ◽

Unusual Presentation ◽

Tissue Tumor

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A Rare Case of Neglected Rupture of Right Axillary Artery Pseudoaneurysm Mimicking a Soft Tissue Tumor

Case Reports in Oncology ◽

10.1159/000509769 ◽

2020 ◽

Vol 13 (3) ◽

pp. 1082-1090

Author(s):

Rosy Setiawati ◽

Vivid Umi Varidha ◽

Giuseppe Guglielmi ◽

Filippo Del Grande

Keyword(s):

Soft Tissue ◽

Soft Tissue Tumor ◽

Glenohumeral Joint ◽

Axillary Artery ◽

Pathologic Fracture ◽

Range Of Movement ◽

Artery Pseudoaneurysm ◽

Tissue Tumor ◽

History Of ◽

The Right

Traumatic lesions of the axillary artery itself are limited to 2.9–9% of major arterial injuries. Pseudoaneurysms represent a pulsating encapsulated hematoma in communication with the lumen of a ruptured vessel. Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to the shoulder region. We describe a case of posttraumatic pseudoaneurysm involving the axillary artery, which was initially misdiagnosed as an aggressive soft tissue tumor. The man presented 10 years after an injury from a fall from a tree with a slowly growing mass in the right upper limb region and reduced range of movement. This is a neglected case with a history of traditional massage. The patient presented a pathologic fracture of the right proximal humerus and dislocation of the glenohumeral joint. At the beginning, it was suggested to be a primary soft tissue tumor, but after several examinations, including comparable X-ray, ultrasound, and histopathology, the results did not support a soft tissue tumor. Magnetic resonance imaging and computed tomography angiography (CTA) finally confirmed the finding of a pseudoaneurysm of the right axillary artery associated with a huge hematoma with different age of the bleeding product and granulation tissue. This case demonstrates the necessity of early diagnosis of axillary artery pseudoaneurysm to prevent complications after a history of trauma. CTA is a useful modality to evaluate vascular injury and provides valuable information.

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