Calcific myonecrosis and the role of imaging in the diagnosis: A case report

Atsushi Okada, Masahito Hatori, Masami Hosaka, Munenori Watanuki, Eiji Itoi

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Calcific myonecrosis is a rare posttraumatic complication characterized by the replacement of muscles of one or more compartments with central liquefaction and peripheral calcification. We report magnetic resonance imaging (MRI) and CT imaging features of calcific myonecrosis arising 43 years after trauma. A 62-year-old man presented with a slowly enlarging mass in the left lower leg. Plain radiographs revealed a soft tissue mass with extensive amorphous calcification. The middle third of the tibia and fibula were eroded. MRI demonstrated peripheral ring enhancement on postcontrast fat-suppressed T1-weighted images. Volume-rendered images extracting only the images of bone and vessels also showed many branches from the tibialis posterior and peroneal arteries around the bone defect. During the operation, bleeding continued heavily from the vessels penetrating the cortical bone of the tibia, from the posterior compartment, and from the branches of tibialis posterior artery. The total blood loss was approximately 2,400 milliliters. There may be a causal relationship between massive bleeding and the hypervascularity of this tumor as evidenced by MRI and volume-rendering CT studies.

Original languageEnglish
Pages (from-to)178-183
Number of pages6
JournalUpsala Journal of Medical Sciences
Volume114
Issue number3
DOIs
Publication statusPublished - 2009

ASJC Scopus subject areas

  • Medicine(all)

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