An antecubital fossa “cyst” caused by postoperative kinking of the brachial artery

Abstract

A 77-year-old woman was referred to our staff for evaluation of a ''cystic'' mass in the antecubital fossa. The recent medical history included surgical excision of a median-nerve schwannoma. The postoperative course had been uneventful. The sonographic examination revealed kinking of the brachial artery; color Doppler imaging showed aliasing at the level of the kink. The case illustrates the value of ultrasound in the diagnosis of fluid-filled lesions of the elbow, including those that are rare and unexpected Keywords Elbow Á Kinking Á Brachial artery Riassunto Il caso in esame si riferisce a una paziente, 77 anni di età, giunta alla nostra osservazione per la comparsa di una massa ''cistica'' a livello della fossa cubitale. In anamnesi vi era un intervento chirurgico per la rimozione di uno Schwannoma del nervo mediano, con decorso postoperatorio regolare. L'esame ecografico evidenziava kinking dell'arteria brachiale, il color-Doppler aliasing in corrispondenza della tortuosità. Abbiamo ritenuto il caso meritevole di pubblicazione per la rarità e perché conferma l'importanza dell'ecografia nel corretto inquadramento delle lesioni a contenuto liquido nel gomito, anche quando inusuali e inattese.

Bicipitoradial bursitis: A diagnosis challenge!

“…Differential diagnoses include tenosynovitis of the distal biceps tendon, ganglion cysts, begin tumors (lipoma arborescens of bicipitoradial bursa, lipoma, and schwannoma), and malignant tumors (soft-tissue sarcoma). [9][10][11] Imaging findings have been shown to accurately rule out these conditions and confirm the diagnosis of bicipitoradial bursitis. However, a histological examination may be necessary.…”

“…Differential diagnoses include tenosynovitis of the distal biceps tendon, ganglion cysts, begin tumors (lipoma arborescens of bicipitoradial bursa, lipoma, and schwannoma), and malignant tumors (soft‐tissue sarcoma) 9‐11 …”

Giant cyst of the antecubital fossa in a female patient with rheumatoid arthritis (A case report)

“…Некоторые наблюдения были связаны с мимикрией синовиальной кисты под псевдоаневризму плечевой артерии [9,10].…”

Antecubital Fossa Solitary Osteochondroma with Associated Bicipitoradial Bursitis

“…Antecubital fossa mass lesions may be either benign or malignant in nature [ 1 , 2 ]. Benign conditions include synovial osteochondromatosis [ 1 ], brachial artery aneurysms, ganglions, bursitis, and hemangiomas.…”

“…Benign conditions include synovial osteochondromatosis [ 1 ], brachial artery aneurysms, ganglions, bursitis, and hemangiomas. Malignant tumors may include synovial and muscle sarcomas [ 2 , 3 ], as well as chondrosarcomas [ 4 , 5 ].…”