Angioleiomyoma is a benign, rare tumor. Our case speaks about a 41-year-old otherwise healthy man presented with a painful mass in his left medial retromalleolar region. It was described as an acute retromalleolar pain irradiated to the plantar aspect of the foot towards the big toe and the second and third toe. A positive Tinel's sign was found with regional numbness and paresthesia. During the surgery the lesion was easily cleavable and it was lying in the supra-fascial region just over the neurovascular bundle. Posterior tibial artery, vein and nerve were located below an intact fascial layer; no signs of compression were detectable. Our case is the second case in the litterature describing an angioleiomyoma mimicking a tarsal tunnel syndrome.

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