ArticleClinics in shoulder and elbow2025
A rare case of pyomyositis with intramuscular hemangioma in the upper arm.
Article in Clinics in shoulder and elbow, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Intramuscular hemangiomas are rare in musculoskeletal pain differentials, especially in the upper extremities. We report a case of a 56-year-old male with an intramuscular hemangioma and abscess in the biceps brachii, presenting with pain, swelling, and limited elbow movement. High C-reactive protein (25.43 mg/dL) and visual analog scale score of 10 were noted. Radiograph showed 3 phleboliths. MRI revealed an enhancing lesion (2.5×2.7×9.8 cm) and abscess. We performed surgery for excision of the intramuscular hemangioma and drainage of the abscess in the biceps muscle. By 5 weeks post-surgery, all functional limitations had resolved, and no recurrence was observed at the 5-month follow-up.
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