Intraluminal capillary hemangioma of the foot presenting clinically as a neuroma: A case report

Capillary hemangiomas are rarely seen in the foot, especially in the deeper soft tissue compartment. If left untreated, they can give rise to benign soft-tissue tumors. A rare case of a capillary hemangioma on the right dorsal medial midfoot that, because of its location adjacent to the saphenous nerve, mimicked the signs and symptoms of a neuroma. In addition, the patient had a history of previous surgery for neuroma excision at the same location. Despite the strong suggestion of another recurrence of a neuroma, a careful workup, including the use of MRI and multidisciplinary consultation was implemented to rule out a possible malignancy. Its nature was confirmed by careful biopsy and histopathological findings prior to surgical resection. This case illustrates how a benign vascular lesion could elicit nerve-related pain in the foot and should be distinguished from malignant tumors, such as soft tissue sarcoma, prior to surgical planning.