Swelling to Surgery: Hemangioma on the dorsal aspect of wrist joint causing impaired movements in a Young Adult ; A Rare Case Report.

Introduction:-Vascular anomalies in children and adolescents are the most common soft tissue lesions and include reactive, malformative, and neoplastic tumefactions, with a full spectrum of benign, intermediate, and malignant neoplasms.(1) Hemangiomas are benign vascular proliferations of endothelial origin ie. characterized by abnormal growth of blood vessels. Hemamgiomas comprise 7% of benign soft tissue tumors (2) and are of various types, namely, capillary, cavernous, or mixed varieties. (3,4) Capillary hemangiomas occur in the superficial plane whereas cavernous hemangiomas occur in both superficial and deep planes of body tissues (5,6,7) While common in infants and young children, their development in adults is unusual, especially in the hand and wrist region. (5,6) Due to their nonspecific appearance, these lesions are frequently mistaken for ganglion cysts, glomus tumors, lipomas, or vascular malformations. A retrospective review of patients presenting with a hand swelling , conducted in year 2022 stated that soft tissue tumors accounted for 97% out of which Ganglion cysts were most common (54.5%) followed by hemangiomas (9.9%). (7,8)This case report describes a rare case of an isolated dorsal wrist hemangioma in an adult male, outlines the diagnostic hurdles posed by hemangiomas in atypical presentations and emphasizes the need to consider this rare entity in the differential diagnosis of wrist swellings, particularly when the clinical presentation is unremarkable for commonly encountered diagnoses. Accurate diagnosis requires careful clinical evaluation supported by imaging and confirmed through histopathological analysis.