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Case of the Week 317

What's the most likely diagnosis?

  • 46 year old female with back pain

Contrast-enhanced axial CT of lower abdomen

  1. Aortic dissection
  2. Fracture of vertebral body
  3. Hemangioma of spine
  4. Duplicated collecting system
  5. Appendicitis

Additional Image - Reconstructed coronal CT of spine


Additional Image

Reconstructed coronal CT of spine


3. Hemangioma of the spine

More (Click Discussion Tab)

Hemangioma of the Spine

General Considerations

  • Benign
  • Most often located in lower thoracic, upper lumbar spine
    • Skull is second most common location (spoke-wheel appearance)
  • Mostly asymptomatic
  • More frequent in females
  • Peak incidence in 40’s
  • Multiple in up to 1/3 of cases
  • Most often occur in the medullary cavity of bone
  • Microscopically, there is hamartomatous proliferation of vascular tissue
    • Classified as to cavernous, capillary, arteriovenous and venous
    • Spine hemangiomas are usually capillary type; skull are cavernous

More ...

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