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Aim: The aim of this case report is to bring to light an unusual case of soft tissue tumor in a young female. Case Report: Hemangiomas are commonly occuring soft tissue tumors, but it rarely involves the feet. We are reporting a twenty two year old female with capillary hemangioma of her left ankle and right foot which was painful. Her excision biopsy was done and microscopic investigation revealed capillary hemangioma. The patient has had no recurrence since the surgery. Discussion: Few similar cases have been reported in the past in children, adults and elderly patients and none of them experienced any recurrence after treatment by excision or sclerotherapy or embolisation. Conclusion: Insidious onset and gradually progressive painful swellings can often be misdiagnosed as vascular malignant neoplasms. Here we have reported an unusual case of capillary hemangioma of bilateral lower limb in a young female.

Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome of excessive activation of immune system. It frequently affects infants from birth to 18 months of age, but is also observed in children and adults of all ages. HLH can occur as a familial or sporadic disorder, and it is triggered by a variety of events, Infection being the most common trigger both in familial and in sporadic cases. Prompt treatment is very critical in cases of HLH, but the greatest barrier is often delay in diagnosis due to the rarity of this syndrome, variable clinical presentation, and lack of specificity of the clinical and laboratory findings. The key clinical features of HLH are high persistent fever, hepatosplenomegaly, blood cytopenia, elevated aminotransferase and ferritin levels, and coagulopathy. A diagnosis of HLH is mostly under-recognized, and is associated with high mortality, especially in adults; thus, prompt diagnosis and treatment are essential. We here present a rare case of HLH in an adult which was non-familial and infection being the trigger causing secondary hemophagocytic lymphohistiocytosis.

<p class="abstract">When a young patient comes to our OPD with chronic heel pain, our first differential diagnosis is never a tumour. We always consider a possibility of calcaneal epiphysitis, or apophysitis. Glomus tumour itself is rare and that involving the bones is rarer. We are presenting here a case of an 11 year ­old girl with complaints of chronic pain in left heel. Plain radiograph revealed a lesion in her left calcaneum. CT scan was suggestive of hyper dense lesion in left calcaneum and possibilities of chondroma or osteoid osteoma were kept. The lesion was excised and microscopy revealed a glomus tumour comprising round to oval cells arranged around blood vessels. Aim of our study is to report such an unusual case of glomus tumour of bone in young patient without recurrence after resection.</p>

Surgery:Patient underwent closed reduction and internal fixation with K wire. Post op ankle and foot radiographs showed fixation of fracture neck talus done with closed pinning using 3 K wires as shown in figures (b). Prognosis:A child's bones heal faster than an adult's because a thicker, stronger, and more active dense fibrous membrane (periosteum) covers the surface of their bones. ABSTRACTTalus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of neck of talus is more common than fracture of body of talus. This can occur because of axial loading of the talus in a dorsiflexed foot against the anterior tibia. Children's bones are skeletally immature and hence less brittle. They have higher elastic resistance than adult bone and are less likely to fracture. However talus fractures can still occur in paediatric patients when there is history of high-energy trauma. It needs surgery and can be associated with complications like avascular necrosis, delayed union, neuropraxia and may need a revision surgery. Here we present an unusual case of a talar neck fracture in a young boy, which was a closed fracture without distal neurovascular deficit. Closed reduction and internal fixation was done with K wire and post op X-rays and follow up X-rays showed complete union. Patient has normal joint mobility and strength after a period of 1 year follow up.