AI Article Synopsis
- Intravascular fasciitis (IF) is a rare but benign condition that occurs in the fascia surrounding small to medium blood vessels.
- An 8-year-old boy with swelling in the groin was found to have a deep vein thrombosis but later developed an unusual mass, leading to the discontinuation of treatment with anticoagulants.
- After surgery and examination, the mass was identified as intravascular fasciitis, highlighting the need for doctors to differentiate IF from more serious conditions like sarcoma and thrombosis.
Article Abstract
Background: Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins.
Case Report: An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis.
Conclusion: Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis.
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| http://dx.doi.org/10.24953/turkjped.2023.442 | DOI Listing |
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